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Individual

MICHAEL J SCHMIDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5 MEDICAL PARK DR, SUITE GL-2, BENTON, AR 72015-3729
(501) 776-6093
(501) 776-6019
Mailing address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6093
(501) 776-6019

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N8431
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124391001
AR
01
140650000
QUALCHOICE
AR
01
1720037
UNITED HEALTH CARE
AR
01
4095825
AETNA
AR
01
5J267
BLUE CROSS BLUE SHIELD
AR
Enumeration date
10/31/2007
Last updated
09/22/2014
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