Individual
DR. DONNA MARIE SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3600 TOWER AVE, SUITE 2, SUPERIOR, WI 54880-5337
(715) 392-5411
(715) 392-5086
Mailing address
3600 TOWER AVE, SUITE 2, SUPERIOR, WI 54880-5337
(715) 392-5411
(715) 392-5086
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3346
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3346
LICENSE
WI
05
—
33467600
—
WI
05
—
505020500
—
MN
Enumeration date
08/14/2006
Last updated
12/12/2012
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