Individual
MICHAEL SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
103 FARABEE DR N, SUITE C, LAFAYETTE, IN 47905-5915
(765) 447-7200
(765) 449-0976
Mailing address
103 FARABEE DR N, SUITE C, LAFAYETTE, IN 47905-5915
(765) 447-7200
(765) 449-0976
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011011
IN
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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