Provider Demographics
NPI:1669451308
Name:SCHULTE, WILLIAM JOSEPH (MD, FAAFP)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:SCHULTE
Suffix:
Gender:M
Credentials:MD, FAAFP
Other - Prefix:
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Mailing Address - Street 1:1603 MORGAN ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:KEOKUK
Mailing Address - State:IA
Mailing Address - Zip Code:52632-3433
Mailing Address - Country:US
Mailing Address - Phone:319-524-7444
Mailing Address - Fax:319-524-8418
Practice Address - Street 1:1603 MORGAN ST
Practice Address - Street 2:SUITE 6
Practice Address - City:KEOKUK
Practice Address - State:IA
Practice Address - Zip Code:52632-3433
Practice Address - Country:US
Practice Address - Phone:319-524-7444
Practice Address - Fax:319-524-8418
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2012-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA21254207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0153056Medicaid
IA15305Medicare ID - Type Unspecified
IA0153056Medicaid