Doctor Name: | JEFFREY J SHULTZ |
NPI Number: | 1003893520 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 34079 |
Business Practice Address: | 6500 Excelsior Blvd Park Nicollet Clinic - Heart & Vascular Center St Louis Park, MN - 554264702 |
Business Phone Number: | 9529933246 |
Business Fax Number: | 9529933010 |
Mailing Address: | 6465 Wayzata Blvd, Ste 315 ST LOUIS PARK |
State: | MN |
Postal Code: | 554261728 |
Phone Number: | 9529937169 |
Fax Number: | 9529930300 |
NPI Enumeration Date: | 12/27/2005 |
NPI Last Update Date: | 10/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 34079 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |