DERRICK SCHUTRUM

DEPEW, NY
NPI1295350940
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  024885)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2020-06-09
Last Update Date2020-06-09
Business Address
DERRICK SCHUTRUM
4893 TRANSIT RD
DEPEW, NY 14043-4698
Phone number: 716-608-7040
Mailing Address
DERRICK SCHUTRUM
1961 BUSH RD
GRAND ISLAND, NY 14072-2915
Phone number: 716-936-4334
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