Individual
SUSAN MARIE SCHNERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3920 ST FRANCIS WAY STE 100, LAFAYETTE, IN 47905-4917
(765) 428-5888
(765) 428-5897
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01036435A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000806465
ANTHEM
—
05
—
100260720
—
IN
Enumeration date
09/15/2005
Last updated
10/19/2023
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