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Individual

JASON C SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50139
MN
207RI0011X
Interventional Cardiology Physician
Primary
50139
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160470000
MN
Enumeration date
06/05/2007
Last updated
07/17/2014
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