Individual
DR. CHARLES LEROY FREDERICK SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 683-5278
(920) 686-9674
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
76987-20
WI
207ZD0900X
Dermatopathology (Pathology) Physician
76987-20
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
76987-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
02/16/2017
Last updated
01/09/2024
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