Organization
KEVIN R. SCHROEDER, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN RAYMOND SCHROEDER D.P.M. (OWNER)
(937) 427-1175
Entity
Organization
Contact information
Practice address
3121 EVELYN DR, STE 120, BEAVERCREEK, OH 45434-4309
(937) 427-1175
(937) 427-9494
Mailing address
3121 EVELYN DR, STE 120, BEAVERCREEK, OH 45434-4309
(937) 427-1175
(937) 427-9494
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0752690
—
OH
Enumeration date
05/18/2006
Last updated
03/10/2009
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