Individual
DR. KENNETH WILLIAM SCHULZE JR.
Active
Individual
DR. KENNETH WILLIAM SCHULZE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5186A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00972001
BLUE CROSS BLUE SHIELD
WY
05
—
101847700
—
WY
05
—
106366900
—
WY
01
—
20012453
RR MEDICARE
WY
01
—
836000025-24
TRICARE
WY
Enumeration date
11/08/2006
Last updated
07/09/2007
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