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NPI Code Detail

MEDICARE: LOREN JETT SCHROEDER

MEDICARE:   LOREN JETT SCHROEDER
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
1122300000XDentist6001543-15WI

General Provider Information

NPI Number : 1235098526
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOREN JETT SCHROEDER
Provider Business Mailing Address
First Line : 1801 W WISCONSIN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-2186
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1801 W WISCONSIN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-2186
Country : US
Telephone Number : 414-288-6790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

Similar Medicare Providers

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1164436150 — DR. MOAWIA KASSAB DDS, MS
Practice Location Address:
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Directions to “ LOREN JETT SCHROEDER ” Practice Location

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