MEDICARE: DR. DAVID W SCHULZ 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
1	2084P0800X	Psychiatry Physician	35005	WI

General Provider Information

NPI Number	:	1821031337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID W SCHULZ MD

Provider Business Mailing Address
First Line	:	2155 HOLLYHOCK LN
Second Line	:
City	:	ELM GROVE
State	:	WI
Zip	:	53122-1335
Country	:	US
Telephone Number	:	262-789-5346
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 N PORT WASHINGTON RD
Second Line	:	SUITE 230
City	:	GLENDALE
State	:	WI
Zip	:	53217-4503
Country	:	US
Telephone Number	:	414-962-4048
Fax Number	:	414-962-4052

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	07/08/2007

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