Individual
DANIEL C SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1001 BELLEFONTAINE AVENUE, LIMA MEMORIAL HEALTH SYSTEM, LIMA, OH 45804-2800
(419) 228-3335
(419) 226-5064
Mailing address
23625 COMMERCE PARK, SUITE 204, BEACHWOOD, OH 44122-5845
(216) 255-5725
(866) 904-9272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
34 004758S
OH
2085R0202X
Diagnostic Radiology Physician
Primary
34-004758
OH
2085R0202X
Diagnostic Radiology Physician
5101015199
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10814679
CAQH
MI
05
—
114370467
—
MI
01
—
300129241
RR MDCR INDIVIDUAL PIN NO
MI
05
—
64867591
—
KY
01
—
DS015199
BC/BS INDIVIDUAL PIN NO
MI
Enumeration date
07/19/2005
Last updated
08/31/2011
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