Individual
LISHA SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
507 FRONT STREET, WALKER, MN 56484
(218) 547-0080
Mailing address
PO BOX 11, WALKER, MN 56484-0011
(218) 547-0080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4128
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133J8SC
BCBS
MN
Enumeration date
07/31/2006
Last updated
07/08/2007
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