Doctor Name: | ROGER A SCHROEDER |
NPI Number: | 1063496750 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 400 Maple Summit Rd Jerseyville, IL - 620522028 |
Business Phone Number: | 6184983612 |
Business Fax Number: | |
Mailing Address: | Po Box 426, JERSEYVILLE |
State: | IL |
Postal Code: | 620520426 |
Phone Number: | 6184983612 |
Fax Number: | 6184988496 |
NPI Enumeration Date: | 12/06/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |