Derrick Schutrum

NPI #1295350940 in Depew, New York

Provider Information

NPI Number: 1295350940
Entity Type: Individual
Name: Derrick Schutrum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Jun 9, 2020
Last Updated: Jun 9, 2020

Practice Location

Address: 4893 TRANSIT RD
City: Depew
State: New York
ZIP Code: 14043-4698
Phone: (716) 608-7040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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