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NPI Code Detail

MEDICARE: MR. GARY JAMES SCHULTZ RN

MEDICARE:  MR. GARY JAMES SCHULTZ  RN
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
1163WH0200XHome Health Registered NurseWI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497738124
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GARY JAMES SCHULTZ RN
Provider Business Mailing Address
First Line : S11441 SELL RD
Second Line :
City : AUGUSTA
State : WI
Zip : 54722-7427
Country : US
Telephone Number : 715-286-4508
Fax Number :
Provider Business Practice Location Address
First Line : S11441 SELL RD
Second Line :
City : AUGUSTA
State : WI
Zip : 54722-7427
Country : US
Telephone Number : 715-286-4508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 07/09/2007

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Directions to “ MR. GARY JAMES SCHULTZ RN” Practice Location

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