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Individual
DR. ROBERT MARK SHIDELER
Active
Individual
DR. ROBERT MARK SHIDELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01051251A
IN
208D00000X
General Practice Physician
01051251A
IN
Other
Enumeration date
10/13/2005
Last updated
04/11/2018
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