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Individual

DR. NED RICHARD SCHROEDER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
320 WARNER DR, LEWISTON, ID 83501-4441
(208) 743-3523
(208) 746-8741
Mailing address
3431 16TH ST, LEWISTON, ID 83501-5630
(208) 743-7617

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M-3825
ID
207X00000X
Orthopaedic Surgery Physician
WA0021484
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010005940
REGENCE
ID
05
8128209
WA
Enumeration date
09/20/2005
Last updated
07/08/2007
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