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Individual

DR. DEREK QUENTIN SCHRODER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
530 NEW WAVERLY PL, SUITE 200, CARY, NC 27511-7414
(919) 859-5955
(919) 859-5659
Mailing address
PO BOX 18563, RALEIGH, NC 27619-8563
(919) 782-1806
(919) 782-1669

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200300406
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134NN
BCBS
NC
01
1427880
UNITED HEALTHCARE
01
8505117
CIGNA
05
89134NN
NC
01
C6382
MEDCOST
01
P00013681
RAILROAD MEDICARE
Enumeration date
02/09/2007
Last updated
01/29/2009
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