Individual
CHRISTIAN MAXIMILLIAN SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, SUITE 1295, INDIANAPOLIS, IN 46202-5149
(317) 278-8349
(317) 944-7648
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(317) 963-0860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01054664A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386162
ANTHEM PIN
IN
05
—
200354290
—
IN
Enumeration date
05/03/2006
Last updated
02/01/2021
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