Individual
ERIC SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
712 MULBERRY ST W, STILLWATER, MN 55082-4735
(651) 491-4403
Mailing address
712 MULBERRY ST W, STILLWATER, MN 55082-4735
(651) 491-4403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218781-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W00000X
—
WI
Enumeration date
08/15/2014
Last updated
08/15/2014
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