Dr Georg C Schultz, MD | |
5515 Cleveland Ave, Stevensville, MI 49127-9670 | |
(269) 429-9644 | |
(269) 429-4002 |
Full Name | Dr Georg C Schultz |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 5515 Cleveland Ave, Stevensville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386672046 | NPI | - | NPPES |
3501108721 | Other | MI | BLUE CROSS PIN |
370004517 | Other | MI | RAILROAD MEDICARE |
2893951 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301051325 (Michigan) | Primary |
Entity Name | Lakeland Medical Practices |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Mailing Address | Practice Location Address |
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Dr Georg C Schultz, MD 5515 Cleveland Ave, Suite 1, Stevensville, MI 49127 Ph: (269) 429-6604 | Dr Georg C Schultz, MD 5515 Cleveland Ave, Stevensville, MI 49127-9670 Ph: (269) 429-9644 |
Stephanie C Welch, PA Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 269-429-1715 | |
Dr. Heather A Marten, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 269-429-1715 | |
Dr. Barton L Comstock, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Suite 1, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 269-429-1715 | |
Dr. Frederick A Johansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Suite 1, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 269-429-1715 | |
Dr. Anna Simpson-o'reggio, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave Ste 1, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 239-658-3070 | |
Anne Dudley, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 269-429-1715 |