Individual
GREGORY Q SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1531 S MADISON ST FL 4, APPLETON, WI 54915-1800
(920) 840-0552
Mailing address
N470 MAPLERIDGE DR, APPLETON, WI 54915-8753
(920) 840-0552
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2139-39
WI
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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