Individual
DR. MARTIN J SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2203 HEDGEWOOD DR, BLOOMINGTON, IL 61704-2405
(513) 558-4194
(614) 562-9573
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45219-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036079254
IL
207L00000X
Anesthesiology Physician
35 086862
OH
Other
Enumeration date
06/13/2006
Last updated
06/21/2024
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