Individual
JOHN BENET SCHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 HENRY ST, NORTH VERNON, IN 47265-1063
(812) 352-4300
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01025690A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100154540
—
IN
01
—
DC3600
RAILROAD GROUP
IN
01
—
P00601035
RAILROAD INDIVIDUAL
IN
Enumeration date
11/29/2005
Last updated
02/12/2014
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