Individual
DR. JEFFREY DAVID SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(920) 794-5125
(920) 794-5465
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
48823
WI
207R00000X
Internal Medicine Physician
48823-021
WI
208M00000X
Hospitalist Physician
48823-21
WI
209800000X
Legal Medicine (M.D./D.O.) Physician
48823
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43547300
—
WI
Enumeration date
11/04/2006
Last updated
04/10/2024
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