MARYLIN RUTH SHUSTER PA NPI 1790766962

NPI Information

  • NPI: 1790766962
  • Provider Name: MARYLIN RUTH SHUSTER, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 16001 W 9 MILE RD
    DEPT OF INTERNAL MEDICINE
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (248) 849-3152

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NPI Details

Marylin Ruth Shuster, PA is a medical physician assistant in Southfield, MI. Marylin Ruth Shuster, PA NPI is 1790766962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16001 W 9 MILE RD
DEPT OF INTERNAL MEDICINE
SOUTHFIELD, MI
ZIP 48075-818
Phone: (248) 849-3152
Fax: (248) 849-5378

The enumeration date for this NPI number is 11/7/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical5601003898MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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