Individual
MR. JEFFREY DALE SCHULTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
570 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-3145
(701) 845-6400
Mailing address
845 6TH AVE NE, APT 11, VALLEY CITY, ND 58072-2364
(710) 845-0715
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
647231
TX
367500000X
Certified Registered Nurse Anesthetist
R022879
SD
367500000X
Certified Registered Nurse Anesthetist
R136952-0
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R31111
ND
Other
Enumeration date
06/30/2005
Last updated
07/08/2007
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