TYLER SHUMAKE
NPI 1548770894
Student in an Organized Health Care Education/Training Program in Southgate, MI

Active since October 01, 2017
13130 MERCIER ST, SOUTHGATE, MI 48195(734) 301-5821(734) 301-5821 Get Directions Write a Review

NPPES record last updated: October 1, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tyler Shumake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER SHUMAKE (NPI 1548770894) is an individual student in an organized health care education/training program in Southgate, Michigan and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1548770894
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER SHUMAKE
Location Address13130 MERCIER STSouthgate, MI 48195-1222
Mailing Address13130 Mercier StSouthgate, MI 48195-1222 · (734) 301-5821
Fax(734) 301-5821
Sole ProprietorNo
Enumeration DateOctober 1, 2017
NPI 1548770894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

13130 MERCIER ST, Southgate, MI 48195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548770894, enumerated as an "individual" on October 01, 2017.

The provider is located at 13130 MERCIER ST SOUTHGATE, MI 48195 and the phone number is (734) 301-5821.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.