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Individual

BRADLEY A SCHMIDT

Active
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Individual

BRADLEY A SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01058990A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000336058
UNICARE
IN
01
000000336058
ANTHEM
KY
01
129703800
US DEPT OF LABOR
IN
01
134960F
UNICARE MEDICARE
IN
01
200357770
MANAGED HEALTH SERVICES
IN
05
200357770
IN
01
2446645000
PASSPORT ADVANTAGE
IN
01
P00141946
RAILROAD MEDICARE
IN
Enumeration date
01/30/2006
Last updated
11/03/2009
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