Provider Demographics
NPI:1538450903
Name:KURSHUK, SHAFER ZUNT (MD)
Entity type:Individual
Prefix:DR
First Name:SHAFER
Middle Name:ZUNT
Last Name:KURSHUK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHAFER
Other - Middle Name:ZUNT
Other - Last Name:KURSHUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:630 ARROWHEAD SHORES DR
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-8050
Mailing Address - Country:US
Mailing Address - Phone:231-622-1225
Mailing Address - Fax:
Practice Address - Street 1:355 W 16TH ST
Practice Address - Street 2:GOODMAN HALL, STE 3200
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2207
Practice Address - Country:US
Practice Address - Phone:317-963-7408
Practice Address - Fax:317-963-7533
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011069602084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology