Individual
DR. JILL SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
15704 90TH ST NE, SUITE 100, OTSEGO, MN 55330-7448
(763) 241-1090
(763) 241-1091
Mailing address
15704 90TH ST NE, SUITE 100, OTSEGO, MN 55330-7448
(763) 241-1090
(763) 241-1091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2919
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150147000
—
MN
Enumeration date
08/11/2006
Last updated
03/18/2015
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