Individual
KRISTEN MARY SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1002 WISHARD BLVD STE 4110, INDIANAPOLIS, IN 46202-2872
(317) 944-8162
(317) 948-4848
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01078407A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01078407A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430926
MEDICARE PTAN
IN
05
—
300016460
—
IN
Enumeration date
04/29/2013
Last updated
01/11/2021
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