Individual
STEVEN CARL SCHWIETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 BROADWAY, SUITE 350, FORT WAYNE, IN 46802-1411
(260) 423-2682
(260) 422-4326
Mailing address
750 BROADWAY, SUITE 150, FORT WAYNE, IN 46802-1411
(260) 423-2682
(260) 422-4326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047129A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206216
BLUE CROSS
—
05
—
200102510
—
IN
Enumeration date
06/22/2006
Last updated
06/06/2011
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