Provider Demographics
NPI:1669481719
Name:SCHULTZ, DAVID M (MD)
Entity Type:Individual
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First Name:DAVID
Middle Name:M
Last Name:SCHULTZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2104 NORTHDALE BLVD NW
Mailing Address - Street 2:SUITE 220
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-3028
Mailing Address - Country:US
Mailing Address - Phone:763-537-6000
Mailing Address - Fax:763-537-6666
Practice Address - Street 1:7400 FRANCE AVE S
Practice Address - Street 2:SUITE 100
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4738
Practice Address - Country:US
Practice Address - Phone:763-537-6000
Practice Address - Fax:763-537-6666
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2022-06-03
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Provider Licenses
StateLicense IDTaxonomies
MN28811208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN715083100Medicaid
MNA51283Medicare UPIN
MN090000009Medicare PIN
MN715083100Medicaid