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Individual

AMY RENEE SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3900 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2505
(952) 993-3150
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3150
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0725060001
DMERC
MN
01
220005866
MEDICA
MN
01
3150
STATE LICENSE
MN
01
9583251
AETNA
MN
01
HP100317
HEALTH PARTNERS
MN
01
P01484175
RAILROAD MEDICARE
Enumeration date
07/08/2008
Last updated
06/10/2021
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