Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 06576 | MD |
NPI | 1013181767 |
---|---|
Provider Name | Dr. Robert Mark Schulz |
First Address | Salisbury, MD 21802-1978 |
Second Address | Princess Anne, MD 21853-1358 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2008 |
Last Update Date | 07/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
119591300 | (05) | MD |