Individual
ERIK L SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 SUNNYVIEW LN, KALISPELL, MT 59901-3164
(406) 752-7900
(406) 257-0253
Mailing address
111 SUNNYVIEW LN, KALISPELL, MT 59901-3164
(406) 752-7900
(406) 257-0253
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
11100
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11100
STATE LICENSE
MT
01
—
1194070001
CIGNA DME
MT
01
—
1215969936
BLUECROSS BLUESHIELD
MT
05
—
1215969936
—
MT
01
—
P00451091
MEDICARE RAILROAD
—
Enumeration date
07/06/2006
Last updated
11/11/2009
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