Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 1085 | ND |
N | 2251S0007X | Physical Therapist - Sports | 1200 | NE |
NPI | 1457437527 |
---|---|
Provider Name | Dr. Robert Anthony Schulte |
First Address | Mandan, ND 58554-3176 |
Second Address | Mandan, ND 58554-3176 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 27/07/2010 |