Individual
PETER NIELSEN SCHILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 JACKSON ST STE 115, ANDERSON, IN 46016-4355
(765) 643-6961
Mailing address
2101 JACKSON ST STE 115, ANDERSON, IN 46016-4355
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01065543A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201058790
—
IN
01
—
P01203526
RR MEDICARE PTAN
IN
Enumeration date
05/21/2008
Last updated
08/15/2022
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