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Individual

ERIC V SCHULZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 23RD ST, BEDFORD, IN 47421-4704
(812) 275-3331
(812) 276-1263
Mailing address
1628 N ST, BEDFORD, IN 47421-3718

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01027860A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000594476
BLUE SHIELD
IN
05
100166060
IN
Enumeration date
10/06/2006
Last updated
01/16/2009
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