Provider Demographics
NPI:1023291358
Name:MICHAEL L SCHULTZ MD PC
Entity type:Organization
Organization Name:MICHAEL L SCHULTZ MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:W
Authorized Official - Last Name:PYSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-249-9937
Mailing Address - Street 1:3400 N CENTER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-7919
Mailing Address - Country:US
Mailing Address - Phone:989-792-1494
Mailing Address - Fax:989-249-9941
Practice Address - Street 1:3400 N CENTER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-7919
Practice Address - Country:US
Practice Address - Phone:989-792-1494
Practice Address - Fax:989-249-9941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301045837207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty