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Individual

DR. MICHAEL WILLIAM SHULTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
315 STRUTHERS LIBERTY RD, CAMPBELL, OH 44405-1949
(330) 750-1333
(330) 750-0203
Mailing address
315 STRUTHERS LIBERTY RD, CAMPBELL, OH 44405-1949
(330) 750-1333
(330) 750-0203

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004267S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000133995
ANTHEM SENIOR ADVANCE
01
0102261
UHC OF COLUMBUS
01
0599322
MEDICARE CLASS
01
0665169
OH WELFARE CLASS
05
0665169
OH
01
080011301
RAILROAD MEDICARE
01
341563209
AETNA CLASS
01
34156320900
UNITED HEALTHCARE CLASS
01
516931
HIGHMARK
01
60322
QUALCHOICE
Enumeration date
11/04/2005
Last updated
12/23/2009
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