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Individual

HOMER LEWIS SCHRECKENGOST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7979 N SHADELAND AVE STE 350, INDIANAPOLIS, IN 46250-2042
(317) 621-5356
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
006906
AZ
207Q00000X
Family Medicine Physician
Primary
02006204A
IN
207Q00000X
Family Medicine Physician
OS012432
PA

Other

Enumeration date
02/23/2006
Last updated
11/24/2020
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