Individual
WADE THOMAS SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
3637 WILGUS AVENUE, SHEBOYGAN, WI 53081
(920) 458-8213
(920) 459-9797
Mailing address
3637 WILGUS AVENUE, SHEBOYGAN, WI 53081
(920) 458-8213
(920) 459-9797
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
47101
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5743015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33788900
—
WI
Enumeration date
06/12/2006
Last updated
01/06/2009
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