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Individual

CHARLES EDWARD SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 EAST MEDICAL CENTER DR, 1ST FLOOR TAUBMAN CENTER RECP C, ANN ARBOR, MI 48109-5322
(734) 936-9010
(734) 615-4991
Mailing address
3621 SOUTH STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301084855
MI
2084N0600X
Clinical Neurophysiology Physician
4301084855
MI
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
4301084855
MI
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
E1201
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131667001
AR
Enumeration date
05/06/2006
Last updated
01/16/2013
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