MEDICARE: PATRICIA M. SCHULTZ

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
1	213E00000X	Podiatrist	00567	MD

General Provider Information

NPI Number	:	1912114562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATRICIA M. SCHULTZ

Provider Business Mailing Address
First Line	:	8920 COLESVILLE RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4149
Country	:	US
Telephone Number	:	301-589-1066
Fax Number	:

Provider Business Practice Location Address
First Line	:	8920 COLESVILLE RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4149
Country	:	US
Telephone Number	:	301-589-1066
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PATRICIA M SCHULTZ
Credential	:	DPM
Telephone Number	:	301-589-1066

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	12/20/2007

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