Stanton G Schultz M.D.

NPI 1073513313 - Internal Medicine - 207RN0300X

NPI Details
NPI 1073513313
Gender Male
Enumeration Date 07/28/2005
Last Updated 07/22/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
416 NORTH 12TH STREET
SOUTHERN ILLINOIS CONSULTANTS FOR KIDNEY DISEASE, S.C.
MT. VERNON IL, 62864-4314, US
Phone (618) 244-4850
Fax (618) 244-7985
Business Location
P.O. BOX 1704
416 NORTH 12TH STREET
MT. VERNON IL, 62864-0034, US
Phone (618) 244-4850
Fax (618) 244-7985
Toxanomy
Taxonomy Code 207RN0300X
License State Indiana
License Number 1027161
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According to our database, Dr. Stanton G Schultz M.D. NPI is 1073513313, taxonomy code is 207RN0300X and license number is 1027161, license state is located at Indiana. Stanton G Schultz M.D. physically located at 416 North 12th Street, Mt. Vernon IL, 62864-4314. NPI Number Stanton G Schultz M.D. has the Individual type.

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1073513313 NPI number is provided on an as is basis without warranty of any kind. 1073513313 is maintained by the National Plan & Provider Enumeration System. The contents of Stanton G Schultz M.D. are for informational purposes only.