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NPI Code Detail

MEDICARE: ERIK L SCHROEDER MD

MEDICARE: ERIK L SCHROEDER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QS0010XSports Medicine (Family Medicine) Physician11100MT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00451091OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111100OTHERMTSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31215969936OTHERMTBLUECROSS BLUESHIELD
41194070001OTHERMTCIGNA DME

General Provider Information

NPI Number : 1215969936
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIK L SCHROEDER MD
Provider Business Mailing Address
First Line : 111 SUNNYVIEW LN
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3164
Country : US
Telephone Number : 406-752-7900
Fax Number : 406-257-0253
Provider Business Practice Location Address
First Line : 111 SUNNYVIEW LN
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3164
Country : US
Telephone Number : 406-752-7900
Fax Number : 406-257-0253
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 11/11/2009

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Directions to “ ERIK L SCHROEDER MD” Practice Location

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