DR. Gordon Dale Schultze, O.D.

NPI #1821124165 in Jenison, Michigan

Provider Information

NPI Number: 1821124165
Entity Type: Individual
Name: DR. Gordon Dale Schultze, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 597 BALDWIN ST
City: Jenison
State: Michigan
ZIP Code: 49428-7994
Phone: (616) 457-0760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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