MEDICARE: AMY SCHULTZ MD, MPH

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	2083P0901X	Public Health & General Preventive Medicine Physician	4301081188	MI

General Provider Information

NPI Number	:	1730697756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY SCHULTZ MD, MPH

Provider Business Mailing Address
First Line	:	1 S JACKSON SQ FL 5
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-1457
Country	:	US
Telephone Number	:	517-205-7433
Fax Number	:

Provider Business Practice Location Address
First Line	:	1715 LANSING AVE STE 221
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49202-2193
Country	:	US
Telephone Number	:	517-788-4420
Fax Number	:

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

Provider Enumeration Date	:	01/11/2018
Last Update Date	:	01/11/2018

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