| Organization Name: | SIGMA MEDICAL GROUP, LLC |
| NPI Number: | 1336334796 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LOIS SCHMIDT (CREDENTIALING SPECIALIST) |
| Mailing Address: | 902 Foxwood Ct Monticello |
| State: | IN US |
| Postal Code: | 479603201 |
| Phone Number: | 5745832495 |
| Fax Number: | 5745832319 |
| NPI Enumeration Date: | 09/10/2007 |
| NPI Last Update Date: | 02/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01042516A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |