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Individual

ANTHONY SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
403 BURKARTH ROAD, WARRENSBURG, MO 64093
(660) 747-2500
(660) 747-8455
Mailing address
26427 SILVERLEAF DR, PLAINFIELD, IL 60585
(815) 621-1000

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036111104
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36111104
IL
Enumeration date
07/05/2006
Last updated
07/18/2012
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