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Individual

MARC D SCHRODE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
36100 EUCLID AVE, SUITE 120, WILLOUGHBY, OH 44094-4456
(440) 951-8360
(440) 951-9408
Mailing address
36100 EUCLID AVE, SUITE 120, WILLOUGHBY, OH 44094-4456
(440) 951-8360
(440) 951-9408

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34004757
OH
207RC0000X
Cardiovascular Disease Physician
Primary
34004757
OH
207RI0011X
Interventional Cardiology Physician
34004757
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000132619
ANTHEM BLUE CROSS/BLUE SH
OH
01
060030888
RAILROAD MEDICARE
OH
05
0782461
OH
01
100650
KAISER
OH
01
2500801
UNITED HEALTHCARE
OH
01
341487428
TAX ID
OH
01
4326064
AETNA
OH
01
51701
QUALCHOICE
OH
Enumeration date
06/28/2006
Last updated
03/01/2021
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