Individual
MALCOLM A SCHULZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
400 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2028
(618) 498-3800
(618) 498-8488
Mailing address
400 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2028
(618) 498-3800
(618) 498-8488
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L9894
TX
208600000X
Surgery Physician
Primary
2007008753
MO
2086S0127X
Trauma Surgery Physician
2007008753
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170171601
—
TX
01
—
1740238542
INDIVIDUAL NPI
IL
Enumeration date
05/04/2006
Last updated
04/30/2009
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