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Individual

MARTIN SCHMIDT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1037
(812) 242-3390
(812) 242-3384
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3390
(812) 242-3384

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01028682A
IN
207RG0100X
Gastroenterology Physician
36094123
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000089608
ANTHEM
05
100251820
IN
05
100251820L
IN
01
110020086
RAILROAD MCARE PALAMETTO
01
P00834923
RAILROAD MEDICARE
IN
Enumeration date
08/31/2006
Last updated
03/14/2013
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