Individual
DR. RICHARD OTTO SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4487 GRANNY SMITH CT, EGG HARBOR, WI 54209-9559
(920) 868-5021
(920) 868-5021
Mailing address
4487 GRANNY SMITH CT, EGG HARBOR, WI 54209-9559
(920) 868-5021
(920) 868-5021
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13963-20
WI
207W00000X
Ophthalmology Physician
13963-20
WI
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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