Individual
KEITH R SCHREFFLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1316 E 7TH ST, AUBURN, IN 46706-2523
(260) 925-4600
Mailing address
PO BOX 151, DECATUR, IN 46733-0151
(260) 724-2145
(317) 957-2750
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01045385A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000191937
ANTHEM BC/BS
IN
05
—
200040710A
—
IN
01
—
930106016
RAILROAD MEDICARE
IN
Enumeration date
12/19/2005
Last updated
02/09/2021
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