| NPI | 1689230070 |
|---|---|
| Other Name | AJ MICHAEL SCHOTTSTAEDT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: WI 77842-20) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH z80299) |
| Enumeration Date | 2019-05-12 |
| Last Update Date | 2025-06-11 |