Healthcare Provider Details

I. General information

NPI: 1437255254
Provider Name (Legal Business Name): RICHARD C SCHULTZ MD & ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 CASS ST
TRAVERSE CITY MI
49684-3236
US

IV. Provider business mailing address

1104 CASS ST
TRAVERSE CITY MI
49684-3236
US

V. Phone/Fax

Practice location:
  • Phone: 231-941-1155
  • Fax: 231-259-1005
Mailing address:
  • Phone: 231-941-1155
  • Fax: 231-259-1005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number4301054337
License Number StateMI

VIII. Authorized Official

Name: THERESA K RAY
Title or Position: OFFICE ADMINISTRATOR
Credential:
Phone: 231-714-9880