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Individual

DAVID M SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1401 W 5TH ST, SHERIDAN MEMORIAL HOSPITAL, SHERIDAN, WY 82801-2705
(307) 672-1000
Mailing address
PO BOX 767, SHERIDAN, WY 82801-0767
(307) 674-5123
(307) 674-5230

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3498A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104112600
WY
01
314528
BLUE CROSS BLUE SHIELD
WY
Enumeration date
09/21/2006
Last updated
05/20/2008
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