Individual
MICHELLE DIANNE SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
925 NE 8TH STREET, OKLAHOMA CITY, OK 73104
(405) 236-3043
(405) 239-2390
Mailing address
925 NE 8TH STREET, OKLAHOMA CITY, OK 73104
(405) 236-3043
(405) 239-2390
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
927
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD927
OKLAHOMA STATE BOARD OF MEDICAL LICENSR
OK
Enumeration date
03/23/2006
Last updated
09/25/2019
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