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Individual

QUINN M SCHULTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
201 RIDGE ST, STE 302, COUNCIL BLUFFS, IA 51503-4643
(712) 322-5532
(800) 293-4214
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1626
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026480110
NE
05
47068731712
NE
Enumeration date
01/26/2012
Last updated
02/01/2017
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