Individual
DR. MICHAEL S. SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7565 DANNAHER WAY, POWELL, TN 37849-4029
(865) 859-1060
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
40687
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3338252
—
TN
05
—
3338253
—
TN
01
—
4119570
BLUE CROSS
TN
01
—
4150087
BLUE CROSS
TN
01
—
P00308116
RAILROAD MEDICARE
TN
Enumeration date
06/15/2006
Last updated
11/30/2007
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