Individual
GRACE SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N RITTER AVE STE 520, INDIANAPOLIS, IN 46219-3052
(317) 355-7220
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10002142A
IN
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/13/2016
Last updated
08/08/2023
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