Individual
MARK ALAN SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6901 S OLYMPIA AVE, TULSA, OK 74132-1843
(918) 388-5701
Mailing address
4500 S GARNETT RD STE 300, TULSA, OK 74146-5238
(918) 392-2944
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
61134
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100787870A
—
OK
Enumeration date
01/08/2007
Last updated
01/30/2014
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