Individual
DR. RICHARD MICHAEL SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2479
(765) 448-8000
(765) 446-7072
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01084093A
IN
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
2019012296
MO
208000000X
Pediatrics Physician
01084093A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068010631
MEDICARE
IN
05
—
300040949
—
IN
Enumeration date
03/26/2015
Last updated
02/01/2023
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