Individual
JOEL SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20333 W 151ST ST, OLATHE, KS 66061-5350
(913) 791-4357
(913) 791-4435
Mailing address
PO BOX 716, OVERLAND PARK, KS 66201-0716
(913) 791-4357
(913) 791-4435
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-23427
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100139170D
—
KS
05
—
1235247842
—
MO
01
—
15539050
BCBSKC
KS
01
—
5684552
AETNA
KS
01
—
930113258
RR MEDICARE
KS
Enumeration date
08/25/2006
Last updated
08/11/2011
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