Individual provider · Type 1 NPI

Michael Dale Shoultz, PhD

Specialist · Madison, WI

NPI number 1043835440 Active

Practice location

2622 Hoard St
Madison, WI 53704-4827

Mailing address

314 N Lincolnway
North Aurora, IL 60542-1132

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X137960 (WI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1043835440

Michael Dale Shoultz, PhD's National Provider Identifier is 1043835440, issued on Jun 11, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Madison, WI. The record was last updated on Jun 11, 2020.