Basic Information
Provider Information
NPI: 1063711745
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHMUTZLER
FirstName: BRIAN
MiddleName: S
NamePrefix: DR.
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1120 SOUTH DR
Address2: FH 204
City: INDIANAPOLIS
State: IN
PostalCode: 462025135
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1120 SOUTH DR
Address2: FH 204
City: INDIANAPOLIS
State: IN
PostalCode: 462025135
CountryCode: US
TelephoneNumber: 3172740076
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/21/2011
LastUpdateDate: 04/10/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X01071276INY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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