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Individual

RICHARD C SCHROEDER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 343-1684
Mailing address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 343-1684

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704114282
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1612386
MI
05
4466512
MI
05
4489894
MI
Enumeration date
08/14/2006
Last updated
07/08/2007
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