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Individual

ERIC M. SCHREIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3909 NEW VISION DR, SUITE 1, FORT WAYNE, IN 46845-1725
(260) 469-6602
(260) 458-5664
Mailing address
1234 E DUPONT RD, SUITE 3, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 373-9740

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
02001837A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200127140
IN
05
2037450
OH
01
250007771
RR MEDICARE
IN
05
4819336
MI
01
P00867166
MEDICARE RR
IN
Enumeration date
07/01/2005
Last updated
11/12/2011
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