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Individual

ROBERT W SCHIMMELPFENNIG JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4011 S TIWARI BLVD, BLOOMINGTON, IN 47403
(812) 825-0800
Mailing address
4721 E DONINGTON DR, BLOOMINGTON, IN 47401-9406
(812) 360-8205

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
01029199A
IN
208000000X
Pediatrics Physician
Primary
01027199A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100338920
IN
Enumeration date
01/27/2006
Last updated
07/12/2024
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