Individual
BRIAN SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
N2934 HWY 22 N, WAUTOMA, WI 54982
(920) 787-5757
(920) 787-5382
Mailing address
250 CENTURY DR, WAUTOMA, WI 54982-7710
(706) 669-8251
(920) 787-5382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10723-40
WI
Other
Enumeration date
12/31/2011
Last updated
10/14/2014
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