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1043835440
MICHAEL DALE SHOULTZ
MADISON, WI
NPI
1043835440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WI 137960)
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
MICHAEL DALE SHOULTZ PhD
2622 HOARD ST
MADISON, WI 53704-4827
Phone number: 608-345-8277
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Mailing Address
MICHAEL DALE SHOULTZ PhD
314 N LINCOLNWAY
NORTH AURORA, IL 60542-1132
Phone number: 608-345-8277
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