Individual
THERESE E SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6868
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
415
WI
363AM0700X
Medical Physician Assistant
415-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42995300
—
WI
01
—
7850
DEAN HEALTH INSURANCE
WI
Enumeration date
05/16/2006
Last updated
04/15/2025
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