Individual
MRS. MARY ELLEN SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
116 E WASHINGTON ST, PLYMOUTH, IN 46563-1744
(574) 935-4068
(574) 935-4058
Mailing address
112 E WASHINGTON ST, PLYMOUTH, IN 46563-1744
(574) 316-0306
(574) 239-0478
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000938A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000521416
ANTHEM
IN
05
—
200353690
—
IN
01
—
P00403293
MEDICARE RAILROAD
IN
Enumeration date
09/14/2005
Last updated
08/08/2019
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