Individual
DR. MARK A SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
725 AMERICAN AVE, SUITE 5, WAUKESHA, WI 53188-5031
(262) 928-2475
(262) 928-5697
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35429-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30061800
—
WI
Enumeration date
01/26/2006
Last updated
01/28/2014
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