Doctor Name: | DR. CLAYTON LEE SCHILTZ |
NPI Number: | 1003135823 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 5101018695 |
Business Practice Address: | 1 Genesys Pkwy Grmc- Medical Education Grand Blanc, MI - 484398065 |
Business Phone Number: | 8106065989 |
Business Fax Number: | |
Mailing Address: | 175 W 2nd St Apt E, POMONA |
State: | CA |
Postal Code: | 917661721 |
Phone Number: | 6198863676 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2010 |
NPI Last Update Date: | 05/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5101018695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |