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Individual
COREY JOSEPH MITSCHER
Active
Individual
COREY JOSEPH MITSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
75000123A
IN
367H00000X
Anesthesiologist Assistant
Primary
75000123A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102864817
ANTHEM PTAN
IN
01
—
Q00784103
RAILROAD PTAN
IN
Enumeration date
01/18/2023
Last updated
10/02/2026
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