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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 137960 (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.