Individual
JEROME E SCHULZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(763) 509-3819
(763) 509-3877
Mailing address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(763) 509-3819
(763) 509-3877
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
17779
MN
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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