Individual
MR. GARY JAMES SCHULTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
S11441 SELL RD, AUGUSTA, WI 54722-7427
(715) 286-4508
Mailing address
S11441 SELL RD, AUGUSTA, WI 54722-7427
(715) 286-4508
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38312200
—
WI
Enumeration date
11/28/2005
Last updated
07/09/2007
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