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Individual

ERIKA SCHWARTZ RADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1801 N SENATE BLVD STE 535, INDIANAPOLIS, IN 46202-1204
(317) 944-9400
(317) 963-1955
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003962A
IN
363AM0700X
Medical Physician Assistant
085.008818
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
264430H10
MEDICARE PTAN
IN
05
300073375
IN
Enumeration date
09/20/2020
Last updated
05/15/2023
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