Individual
DR. KEN A SCHROETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3 CARRIAGE LN, BEDFORD, NH 03110-4619
(603) 540-2890
Mailing address
3 CARRIAGE LN, BEDFORD, NH 03110-4619
(603) 540-2890
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
10884
NH
2080N0001X
Neonatal-Perinatal Medicine Physician
0320000522
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02623710
—
NY
05
—
1011154
—
VT
Enumeration date
08/14/2006
Last updated
04/20/2020
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