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Individual

DR. MARK ALLEN SCHROER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17 EAST SIXTH STREET, NEWPORT, KY 41071-1803
(859) 431-8285
(859) 431-8286
Mailing address
17 EAST SIXTH STREET, NEWPORT, KY 41071-1803
(859) 431-8285
(859) 431-8286

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30674
KY
207R00000X
Internal Medicine Physician
35-064929
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00543001
MEDICARE PTAN
KY
05
0204559
OH
05
200449980
IN
05
64306749
KY
Enumeration date
05/03/2006
Last updated
05/15/2014
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