Organization
MARK J SCHULD MD PC
Active
Other names
Heritage Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J SCHULD MD (PRESIDENT)
(812) 894-2304
Entity
Organization
Contact information
Practice address
7500 STATE ROAD 46, RILEY, IN 47871
(812) 894-2304
(812) 894-3604
Mailing address
7500 STATE ROAD 46, PO BOX 537, RILEY, IN 47871
(812) 894-2304
(812) 894-3604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045428A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC1530
PALMETTO GBA
IN
Enumeration date
04/09/2008
Last updated
04/20/2008
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