Individual
JERRY M STULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7901 DILEY RD STE 150, CANAL WINCHESTER, OH 43110-9613
(614) 355-9050
Mailing address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
(614) 722-2000
(614) 722-4380
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35092298
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35092298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163646
—
OH
Enumeration date
02/14/2006
Last updated
04/14/2026
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