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NPI Code Detail

MEDICARE: THE BREAST CARE CENTER OF INDIANA, P.C.

MEDICARE: THE BREAST CARE CENTER OF INDIANA, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician

General Provider Information

NPI Number : 1467510065
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE BREAST CARE CENTER OF INDIANA, P.C.
Provider Business Mailing Address
First Line : 8550 NAAB RD STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2086
Country : US
Telephone Number : 317-875-5461
Fax Number : 317-872-1374
Provider Business Practice Location Address
First Line : 8550 NAAB RD STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2086
Country : US
Telephone Number : 317-875-5461
Fax Number : 317-872-1374
Authorized Official
Title or Position : PRESIDENT
Name : DR. RHYS THOMAS SCHMIDT III
Credential : M.D.
Telephone Number : 317-875-5461
Provider Enumeration Date : 12/05/2006
Last Update Date : 02/16/2010

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Directions to “THE BREAST CARE CENTER OF INDIANA, P.C. ” Practice Location

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