Individual
DR. PAUL HENRY SCHAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8244 E US HIGHWAY 36, SUITE 1100, AVON, IN 46123-9575
(317) 272-7500
(317) 272-7515
Mailing address
8244 E US HIGHWAY 36, SUITE 1100, AVON, IN 46123-9575
(317) 272-7500
(317) 272-7515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032085
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100063390A
—
IN
Enumeration date
09/29/2005
Last updated
11/29/2011
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