Individual
DR. MARK P SCHMELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12340 BITTERSWEET COMMONS BLVD W, GRANGER, IN 46530-6959
(574) 271-8610
(574) 271-8620
Mailing address
3245 HEALTH DR, STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002103A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200243660
—
IN
Enumeration date
07/20/2005
Last updated
01/27/2025
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