Provider Demographics
NPI:1417265323
Name:SCHULTZ, KATHERINE MARY (PA-C)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:MARY
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:15825 INDIAN VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:SCHOOLCRAFT
Mailing Address - State:MI
Mailing Address - Zip Code:49087-9139
Mailing Address - Country:US
Mailing Address - Phone:269-679-3310
Mailing Address - Fax:
Practice Address - Street 1:601 S US HIGHWAY 131
Practice Address - Street 2:
Practice Address - City:THREE RIVERS
Practice Address - State:MI
Practice Address - Zip Code:49093-8831
Practice Address - Country:US
Practice Address - Phone:269-286-7070
Practice Address - Fax:269-286-7071
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
MI5601005841363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant