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Individual

RALPH L WISCHMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3220 SYCAMORE CT., SUITE 1B, COLUMBUS, IN 47203-1545
(812) 265-5211
(812) 265-0570
Mailing address
3220 SYCAMORE CT., SUITE 1B, COLUMBUS, IN 47203-1545
(812) 265-5211
(812) 265-0570

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01044780
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000042212
ANTHEM BCBS
IN
01
050054407
MEDICARE RAILROAD
01
1096331
PASSPORT KY MEDICAID
KY
05
200104870A
IN
01
2436126000
PASSPORT ADVANTAGE
KY
01
415832P
SIHO
IN
01
5187499
AETNA
05
64881147
KY
Enumeration date
06/27/2006
Last updated
04/02/2024
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