Individual
DR. JOHN MARK SCHRAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2310 CALIFORNIA ROAD, ELKHART, IN 46514-1228
(574) 264-4163
(574) 262-9650
Mailing address
2310 CALIFORNIA ROAD, ELKHART, IN 46514-1228
(574) 264-4163
(574) 262-9650
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01063215A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01063215A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000531797
ANTHEM
IN
01
—
01063215A
LICENSE
IN
05
—
200869880
—
IN
Enumeration date
05/16/2007
Last updated
05/08/2019
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