Individual
DR. BETH ANN SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1711 S STEPHENSON AVE, SUITE 300, IRON MOUNTAIN, MI 49801-3650
(906) 774-1633
(906) 774-4451
Mailing address
1711 S STEPHENSON AVE, SUITE 300, IRON MOUNTAIN, MI 49801-3650
(906) 774-1633
(906) 774-4451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5301083459
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802210542
BLUE CROSS BLUE SHIELD
MI
05
—
104628165
—
MI
05
—
34551400
—
WI
05
—
43055200
—
WI
01
—
981431041664
PREFERRED ONE
—
01
—
P00144655
RAILROAD MEDICARE
—
Enumeration date
08/17/2005
Last updated
05/24/2023
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