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NPI Code Detail

MEDICARE: MS. CONNIE RAE SCHULTZ M.S.

MEDICARE: MS. CONNIE RAE SCHULTZ M.S.
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
1170300000XGenetic Counselor (M.S.)96215WI

General Provider Information

NPI Number : 1477715365
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CONNIE RAE SCHULTZ M.S.
Provider Business Mailing Address
First Line : 700 S PARK ST
Second Line : GENETICS / MATERNAL FETAL MEDICINE
City : MADISON
State : WI
Zip : 53715-1830
Country : US
Telephone Number : 608-258-5699
Fax Number : 608-258-6772
Provider Business Practice Location Address
First Line : 700 S PARK ST
Second Line : GENETICS / MATERNAL FETAL MEDICINE
City : MADISON
State : WI
Zip : 53715-1830
Country : US
Telephone Number : 608-258-5699
Fax Number : 608-258-6772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2008
Last Update Date : 07/11/2008

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