Individual
STEPHEN A SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 W LINCOLN ST, SUITE 402, BELLEVILLE, IL 62220-1987
(618) 277-0475
(618) 277-0593
Mailing address
300 W LINCOLN ST, SUITE 402, BELLEVILLE, IL 62220-1987
(618) 277-0475
(618) 277-0593
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036065962
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065962
—
IL
Enumeration date
09/07/2007
Last updated
09/28/2007
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