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Individual

MICHAEL J SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101281554
VA
2085R0202X
Diagnostic Radiology Physician
01053055A
IN
2085R0202X
Diagnostic Radiology Physician
35713
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200328850
IN
05
64030398
KY
01
674342
ANTHEM
IN
01
7559204
AETNA
IN
01
M400023991
MEDICARE
IN
Enumeration date
07/12/2006
Last updated
05/07/2024
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