Healthcare Provider Details

I. General information

NPI: 1073914552
Provider Name (Legal Business Name): WILLIAM SCHULTZ CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2014
Last Update Date: 11/09/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GENESYS PKWY ANESTHESIA OFFICE
GRAND BLANC MI
48439-8065
US

IV. Provider business mailing address

3056 CAROLINE ST
AUBURN HILLS MI
48326-3613
US

V. Phone/Fax

Practice location:
  • Phone: 810-606-6499
  • Fax:
Mailing address:
  • Phone: 810-459-9731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4704267802
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: