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Individual
MR. SHAD D SCHRADER
Active
Individual
MR. SHAD D SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001755
IA
363AM0700X
Medical Physician Assistant
001755
IA
363AS0400X
Surgical Physician Assistant
001755
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001755
IOWA LICENSE
IA
01
—
I75560039
MEDICARE
IA
Enumeration date
11/01/2006
Last updated
03/28/2025
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