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Individual

DR. STACY NORMAN SCHULZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2604
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2604
STATE MD LICENSE
AK
05
MD13202
AK
Enumeration date
08/13/2006
Last updated
10/17/2007
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