Individual
DR. GEORG C SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5515 CLEVELAND AVE, STEVENSVILLE, MI 49127-9670
(269) 429-9644
(269) 429-4002
Mailing address
5515 CLEVELAND AVE, SUITE 1, STEVENSVILLE, MI 49127
(269) 429-6604
(269) 429-1715
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301051325
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2893951
—
MI
01
—
3501108721
BLUE CROSS PIN
MI
01
—
370004517
RAILROAD MEDICARE
MI
Enumeration date
06/29/2006
Last updated
03/07/2023
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