Individual
JULIE M ORTEGA-SCHMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15015 SR 23, UNIT 3, GRANGER, IN 46530
(574) 360-8796
Mailing address
PO BOX 6309, SOUTH BEND, IN 46660-6309
(574) 472-6700
(574) 472-6746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01043993
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000483605
BCBS
IN
01
—
000000600594
BCBS
IN
05
—
100373530
—
IN
Enumeration date
07/15/2006
Last updated
04/14/2009
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