Individual
WALTER A SCHROEDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO MD
Contact information
Practice address
3203 BLATTNER DRIVE, CAPE GIRARDEAU, MO 63703
(573) 334-5007
(573) 334-6369
Mailing address
3203 BLATTNER DRIVE, CAPE GIRARDEAU, MO 63703
(573) 334-5007
(573) 334-6369
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MOR9980
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119051
HEALTH LINK
MO
01
—
26757
BLUE CROSS BLUE SHIELD
MO
Enumeration date
09/26/2006
Last updated
07/08/2007
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