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Individual

DR. BRUCE A SCHROEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CHILDREN'S HOSPITAL - RADIOLOGY, 8200 DODGE STREET, OMAHA, NE 68114-4113
(402) 955-5602
(402) 955-5601
Mailing address
CHILDREN'S HOSPITAL, 8200 DODGE STREET, OMAHA, NE 68114-4113
(405) 955-5400

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
16133
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1964536
IA
01
35533
BCBS
NE
01
551
MIDLANDS CHOICE
01
91581
BCBS
IA
Enumeration date
11/18/2006
Last updated
07/08/2007
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