| Doctor Name: | DR. ERICH WATSON SCHROEDER |
| NPI Number: | 1215048426 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01062321A |
| Business Practice Address: | 331 Sijen Ave 509th Medical Group / Sgp Whiteman Afb, MO - 653051269 |
| Business Phone Number: | 6606872157 |
| Business Fax Number: | |
| Mailing Address: | 331 Sijen Ave, 509th Medical Group / Sgp WHITEMAN AFB |
| State: | MO |
| Postal Code: | 653051269 |
| Phone Number: | 6606872157 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 01/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01062321A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |