Provider Demographics
NPI:1548258387
Name:SCHULTZ, ANGELA MARIE (MD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8118 CARPENTER RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-1360
Mailing Address - Country:US
Mailing Address - Phone:810-410-8151
Mailing Address - Fax:
Practice Address - Street 1:8118 CARPENTER RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:MI
Practice Address - Zip Code:48433-1360
Practice Address - Country:US
Practice Address - Phone:810-410-8151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301066433207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0995378OtherHEALTHPLUS
1011386OtherHEALTH ADVANTAGE PPO
381908328OtherTRICARE
MI060OtherCOMMUNITY CHOICE
1914936OtherFIRST HEALTH
MI4549910Medicaid
115400OtherGREAT LAKES HEALTH PLAN
7729026OtherAETNA
MIP31368FOtherBLUE CARE NETWORK
1011386OtherMCLAREN HEALTH PLAN
MI080G310660OtherBCBS
381908328OtherHCAP
MI4549910OtherMOLINA HEALTH CARE
1011386OtherHEALTH ADVANTAGE PPO
7729026OtherAETNA