Individual
PROF. JAMES LOUIS SCHUTZENHOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 MARTIN LUTHER KING DRIVE, CENTRALIA, IL 62801
(618) 545-1705
(618) 545-1703
Mailing address
1050 MARTIN LUTHER KING DRIVE, CENTRALIA, IL 62801
(618) 545-1705
(618) 545-1703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036088228
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088228
—
IL
Enumeration date
08/09/2005
Last updated
07/08/2007
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