Michael Dale Shoultz, PHD

NPI #1043835440 in Madison, Wisconsin

Provider Information

NPI Number: 1043835440
Entity Type: Individual
Name: Michael Dale Shoultz, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: PHD
Enumeration Date: Jun 11, 2020
Last Updated: Jun 11, 2020

Practice Location

Address: 2622 HOARD ST
City: Madison
State: Wisconsin
ZIP Code: 53704-4827
Phone: (608) 345-8277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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