Individual
DR. CLIFFORD JAMES SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2616 COVINGTON POINTE TRL, FORT WAYNE, IN 46804-2773
(260) 432-3366
Mailing address
2616 COVINGTON POINTE TRL, FORT WAYNE, IN 46804-2773
(260) 432-3366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01019249A
IN
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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