Individual
CARY JO RITA SCHLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 948-6400
(317) 222-2053
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01093816A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104296457
ANTHEM PTAN
IN
01
—
233690226
MEDICARE PTAN
IN
05
—
300096066
—
IN
Enumeration date
03/24/2015
Last updated
10/02/2024
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