Individual
MARK STUART SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4185 ST GEORGE RD, WILLISTON, VT 05495-7695
(802) 879-5333
(802) 879-5335
Mailing address
64 GOLDENROD LN, WILLISTON, VT 05495-8022
(802) 879-6352
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042-0007095
VT
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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