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NPI Code Detail

MEDICARE: BRUCE HENRY SCHULZ MD

MEDICARE: BRUCE HENRY SCHULZ MD
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
1207Q00000XFamily Medicine Physician42451MN
2207Q00000XFamily Medicine Physician4745SD

General Provider Information

NPI Number : 1215983549
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE HENRY SCHULZ MD
Provider Business Mailing Address
First Line : 600 N SYCAMORE AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57110-5745
Country : US
Telephone Number : 605-328-2999
Fax Number : 605-328-2957
Provider Business Practice Location Address
First Line : 600 N SYCAMORE AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57110-5745
Country : US
Telephone Number : 605-328-2999
Fax Number : 605-328-2957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 03/28/2022

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Directions to “ BRUCE HENRY SCHULZ MD” Practice Location

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