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Individual

BARBARA SCHROEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3301 LAKE AVE, FORT WAYNE, IN 46805-5529
(260) 422-3937
(260) 424-6900
Mailing address
3301 LAKE AVE, FORT WAYNE, IN 46805-5529
(260) 422-3937
(260) 424-6900

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01039063A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100348030
IN
01
180011187
RR MEDICARE
IN
Enumeration date
07/13/2005
Last updated
01/16/2009
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