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Individual

DR. NATHAN TROY SCHULZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
925 S OAK ST, LAKE CITY, MN 55041-1856
(651) 345-5615
(651) 345-4005
Mailing address
925 S OAK ST, LAKE CITY, MN 55041-1856
(651) 345-5615
(651) 345-4005

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3824
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
775S2SC
BCBS PIN NUMBER
MN
01
DD9286
PALMETTO GBA GROUP NUMBER
MN
01
P00260906
PALMETTO GBA PIN NUMBER
MN
Enumeration date
01/05/2007
Last updated
09/16/2014
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