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NPI Code Detail

MEDICARE: CHARLES SCHROEDER MD

MEDICARE: CHARLES 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
1174400000XSpecialist04510RLA

General Provider Information

NPI Number : 1265469431
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES SCHROEDER MD
Provider Business Mailing Address
First Line : 744 W MICHIGAN AVE
Second Line :
City : JACKSON
State : MI
Zip : 49201-1909
Country : US
Telephone Number : 517-787-6440
Fax Number : 517-787-4146
Provider Business Practice Location Address
First Line : 3510 N CAUSEWAY BLVD
Second Line :
City : METAIRIE
State : LA
Zip : 70002-3531
Country : US
Telephone Number : 504-779-5568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 01/11/2026

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