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Individual

MARY COLETTE SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4401 PARKER RD, BLACK JACK, MO 63033-4266
(314) 922-4048
(636) 333-4510
Mailing address
PO BOX 611, FLORISSANT, MO 63032-0611
(314) 922-4048
(636) 333-4510

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36735
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000010050
ESSENCE
MO
01
0400603
UHC
MO
01
101339
HEALTHLINK
MO
01
138775
GHP
MO
05
202507604
MO
01
24287
BCBS
MO
01
4401357
AETNA
MO
01
A14103
MERCY
MO
Enumeration date
11/10/2005
Last updated
12/22/2023
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