Provider Demographics
NPI:1013004290
Name:SCHULTZ, KARL F (MD)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:F
Last Name:SCHULTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR
Mailing Address - Street 2:PO BOX 0446 LOBBY J
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:5315 ELLIOTT DRIVE
Practice Address - Street 2:SUITE 304
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-8634
Practice Address - Country:US
Practice Address - Phone:734-712-0655
Practice Address - Fax:734-712-0611
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2016-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301086877207X00000X
MI4301-086877207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4811919Medicaid
MII47373Medicare UPIN
MI0H16015045Medicare ID - Type Unspecified