Individual
STEPHEN A SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 W 16TH STREET, BEDFORD, IN 47421
(812) 279-6505
(812) 275-1348
Mailing address
2900 W 16TH STREET, BEDFORD, IN 47421
(812) 279-6505
(812) 275-1348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01027162A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000078361
ANTHEM PROVIDER #
IN
Enumeration date
09/08/2005
Last updated
07/08/2007
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