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NPI Code Detail

MEDICARE: STEPHEN E SCHULDT M.D.

MEDICARE: STEPHEN E SCHULDT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician4301094272MI
22084P0800XPsychiatry Physician35.123066OH

General Provider Information

NPI Number : 1174751788
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN E SCHULDT M.D.
Provider Business Mailing Address
First Line : 1031 PIERCE ST
Second Line : SUITE D
City : SANDUSKY
State : OH
Zip : 44870-4669
Country : US
Telephone Number : 419-557-5568
Fax Number : 419-557-5542
Provider Business Practice Location Address
First Line : 1925 HAYES AVE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4737
Country : US
Telephone Number : 419-557-5177
Fax Number : 419-557-5179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2009
Last Update Date : 01/07/2015

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