Individual
GRADY SCHULZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 S WINTER ST, SAINT ANSGAR, IA 50472-9518
(641) 590-3681
Mailing address
424 S WINTER ST, SAINT ANSGAR, IA 50472-9518
(641) 590-3681
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
210562-8
MN
Other
Enumeration date
10/13/2014
Last updated
10/14/2014
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