Mieka Patrice Shuman, DO
General Practice in Johnstown, PA. Individual provider (NPI-1).
NPI number1982198537
StatusActive
Last updated in NPPESApr 14, 2021
Details
- NPI
- 1982198537
- Entity type
- Individual (NPI-1)
- Name
- Mieka Patrice Shuman
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2018
- Certification date
- Apr 14, 2021
- Last updated
- Apr 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 036.153984 | IL | Yes |
Practice location
1086 Franklin StJohnstown, PA 15905-4305
Phone 814-534-1660 · Fax 814-534-1680
Mailing address
2527 Sandhutton AveRockford, IL 61108-8064
Phone 614-707-6610
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