MEDICARE: DR. ROBERT JAMES SCHUTZ

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	2086S0122X	Plastic and Reconstructive Surgery Physician	3685	SD
2	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	3685	SD

General Provider Information

NPI Number	:	1477683324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JAMES SCHUTZ

Provider Business Mailing Address
First Line	:	2820 MOUNT RUSHMORE RD
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-5462
Country	:	US
Telephone Number	:	605-342-3280
Fax Number	:	605-721-8458

Provider Business Practice Location Address
First Line	:	3615 5TH ST
Second Line	:	SUITE 101
City	:	RAPID CITY
State	:	SD
Zip	:	57701-6014
Country	:	US
Telephone Number	:	605-343-7208
Fax Number	:	605-343-7132

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	05/17/2011

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Directions to “ DR. ROBERT JAMES SCHUTZ ” Practice Location

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