Individual
ETHAN THOMAS SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
1021 WEST ST, NEW ALBANY, IN 47150-4856
(502) 974-8525
Mailing address
PO BOX 402, FLOYDS KNOBS, IN 47119-0402
(502) 974-8525
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
11201
IN
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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