Individual
SANDRA JOANNE SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12142 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316-4525
(952) 977-0500
(952) 977-0510
Mailing address
12142 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316-4525
(952) 977-0500
(952) 977-0510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55778
MN
208000000X
Pediatrics Physician
55778
MN
Other
Enumeration date
04/27/2009
Last updated
04/05/2016
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