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Individual

MRS. MELITA L. MARCIAL-SCHUSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2902 E 52ND ST, INDIANAPOLIS, IN 46205-1502
(317) 259-7296
Mailing address
2902 E 52ND ST, INDIANAPOLIS, IN 46205-1502

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004321A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000203491
ANTHEM
01
0107374
UNITED HEALTHCARE
01
04086
PARAMOUNT
05
1811961261
IA
05
201210030
IN
05
2127871
OH
01
7929251
AETNA
01
80181936
RAILROAD MEDICARE
01
P00770967
RR MEDICARE
IA
01
P01405439
RAILROAD MEDICARE
IN
Enumeration date
02/14/2006
Last updated
04/28/2016
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