Individual
MARK D SCHAMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 200, FORT WAYNE, IN 46845-1714
(260) 425-6030
(260) 425-6028
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
28513404
MI
367H00000X
Anesthesiologist Assistant
Primary
75000042A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102529670
ANTHEM PTAN
IN
Enumeration date
03/20/2019
Last updated
05/14/2025
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