Individual
ROBYN D SCHMUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 200, FORT WAYNE, IN 46845-1707
(260) 425-6100
(260) 425-5165
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
42306
KY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
01071445A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000774253
ANTHEM
IN
05
—
200982150
—
IN
05
—
7100113020
—
KY
Enumeration date
02/17/2007
Last updated
01/17/2023
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