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Individual

JAMIE L SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1640 E SUMNER ST, HARTFORD, WI 53027-2684
(262) 670-4000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 670-4000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4869
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100023522
WI
Enumeration date
06/29/2012
Last updated
10/04/2023
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