Individual
PAUL W SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3701 12TH STREET N, SUITE 100, ST CLOUD, MN 56303
(320) 253-7257
(320) 251-2938
Mailing address
3701 12TH STREET N, SUITE 100, ST CLOUD, MN 56303
(320) 253-7257
(320) 251-2938
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
26151
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01271SC
BCBS
—
01
—
102478
UCARE
—
01
—
1324452
MEDICA
—
01
—
532003
P ONE
—
Enumeration date
07/18/2006
Last updated
07/08/2007
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