Individual
SCOTT ROBERT SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 559-2171
(763) 694-9000
Mailing address
2955 XENIUM LN N, #40, PLYMOUTH, MN 55441-2666
(763) 398-2203
(763) 694-9000
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
38326
MN
2085N0904X
Nuclear Radiology Physician
38326
MN
2085R0202X
Diagnostic Radiology Physician
Primary
38328
MN
2085R0204X
Vascular & Interventional Radiology Physician
38326
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
777025100
—
MN
Enumeration date
07/29/2005
Last updated
03/21/2019
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