Individual
LEA ANN SCHROETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 GRANITE ST, HURLEY, WI 54534-1384
(715) 561-2255
(715) 561-5021
Mailing address
N10565 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-1500
(906) 932-5630
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26178
WI
208000000X
Pediatrics Physician
Primary
4301050609
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018466
PREFERREDONE
—
01
—
12D82SC
BCBS
MN
05
—
30735100
—
WI
05
—
4307534
—
MI
01
—
LS050609
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
07/12/2005
Last updated
09/27/2013
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