Provider Demographics
NPI:1255490074
Name:SCHULTE, JOHN R (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:SCHULTE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1295 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:CA
Mailing Address - Zip Code:94010-7359
Mailing Address - Country:US
Mailing Address - Phone:650-340-1462
Mailing Address - Fax:650-340-1462
Practice Address - Street 1:678 MAIN ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1922
Practice Address - Country:US
Practice Address - Phone:650-421-2561
Practice Address - Fax:650-421-2569
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2017-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG44790207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG44790OtherCA LICENSE