Provider Demographics
NPI:1710765813
Name:SCHULTE, ANDREW KIP (PA-C)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:KIP
Last Name:SCHULTE
Suffix:
Gender:M
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:PO BOX 776982
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6982
Mailing Address - Country:US
Mailing Address - Phone:800-494-5797
Mailing Address - Fax:
Practice Address - Street 1:1150 E SHERMAN BLVD
Practice Address - Street 2:STE 1100
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444-1871
Practice Address - Country:US
Practice Address - Phone:231-672-2203
Practice Address - Fax:231-672-2992
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-19
Last Update Date:2023-12-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant