Individual
MICHAEL SCHRODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11681 BROOKS SCHOOL RD, UNIT 1, FISHERS, IN 46037-9743
(317) 813-0148
(317) 913-1482
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010036A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200958090
—
IN
01
—
P00809400
RAILROAD MEDICARE PIN
IN
Enumeration date
08/04/2009
Last updated
10/28/2014
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