| Doctor Name: | SUSAN PERDUE SCHULTZ |
| NPI Number: | 1508256975 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | NP-16989 |
| Business Practice Address: | 7590 Auburn Rd Concord Twp, OH - 440779176 |
| Business Phone Number: | 4403758100 |
| Business Fax Number: | |
| Mailing Address: | Dept 781789, Po Box 78000 DETROIT |
| State: | MI |
| Postal Code: | 482781789 |
| Phone Number: | 4408790081 |
| Fax Number: | 4408790084 |
| NPI Enumeration Date: | 01/23/2015 |
| NPI Last Update Date: | 01/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP-16989 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |