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NPI Code Detail

MEDICARE: DR. KORY PATRICK SCHROM M.D.

MEDICARE: DR. KORY PATRICK SCHROM M.D.
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
1207N00000XDermatology Physician35.146625OH

General Provider Information

NPI Number : 1326492851
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KORY PATRICK SCHROM M.D.
Provider Business Mailing Address
First Line : 17840 BAGLEY RD
Second Line :
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-3401
Country : US
Telephone Number : 440-531-6000
Fax Number :
Provider Business Practice Location Address
First Line : 17840 BAGLEY RD
Second Line :
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-3401
Country : US
Telephone Number : 440-531-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2016
Last Update Date : 02/05/2024

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