Individual
JONATHAN SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311
(920) 490-4096
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4414-23
WI
Other
Enumeration date
04/20/2018
Last updated
04/10/2024
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