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NPI Code Detail

MEDICARE: GREG A. SCHROEDER

MEDICARE:   GREG A. 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
1237700000XHearing Instrument SpecialistHA-1556ID

General Provider Information

NPI Number : 1477720712
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREG A. SCHROEDER
Provider Business Mailing Address
First Line : 522 ADDISON AVE W
Second Line :
City : TWIN FALLS
State : ID
Zip : 83301-5039
Country : US
Telephone Number : 208-913-0224
Fax Number :
Provider Business Practice Location Address
First Line : 522 ADDISON AVE W
Second Line :
City : TWIN FALLS
State : ID
Zip : 83301-5039
Country : US
Telephone Number : 208-913-0224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2008
Last Update Date : 02/12/2025

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Directions to “ GREG A. SCHROEDER ” Practice Location

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