Gordon Schultze, O.D

NPI 1821124165 · on the registry since 2007

Practice

Address: 597 Baldwin St
Jenison, MI 49428
Phone: (616) 457-0760
Fax: (616) 457-0762
Organisation at this address: Lifetime Eyecare P C
Jenison Family Denistry, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan