Search › California › 152W00000X
Michael Shulkin
NPI 1790893824 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1188 Montgomery Dr
Santa Rosa, CA 95405 - Phone
- (707) 542-3404
- Fax
- (707) 542-3404
- Organisation at this address
- Dr. Michael C. Shulkin,Od
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152WC0802X
152WP0200X
152WS0006X
152WV0400X
152WX0102X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California