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NPI Code Detail

MEDICARE: MARK SCHULTZEL MD

MEDICARE: MARK SCHULTZEL MD
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
1207X00000XOrthopaedic Surgery PhysicianA115034CA

General Provider Information

NPI Number : 1689990913
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK SCHULTZEL MD
Provider Business Mailing Address
First Line : 400 CRAVEN RD
Second Line :
City : SAN MARCOS
State : CA
Zip : 92078-4201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3750 CONVOY ST STE 201
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-3770
Country : US
Telephone Number : 858-278-8300
Fax Number : 858-999-2550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2010
Last Update Date : 05/16/2019

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