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BRUCE SCHULTZ M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1356307433

Individual Registrant:
 BRUCE  SCHULTZ M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
615 N PROMENADE ST  HAVANA, IL 62644-1015 US
Tel: 309-543-6600  Fax: 309-543-2089

Contact information for business:
615 N PROMENADE ST P O BOX 530 HAVANA, IL 62644-1015 US
Tel: 309-543-6600  Fax: 309-543-2089

Registration Information:
NPI: 1356307433
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IL036110300

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
036110300IL05




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