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Individual

SAMUEL SCHULTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2640 RIDGE RD, KEWASKUM, WI 53040-8702
(262) 416-2822
Mailing address
2640 RIDGE RD, KEWASKUM, WI 53040-8702
(262) 416-2822

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary

Other

Enumeration date
04/26/2023
Last updated
04/26/2023
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