Healthcare Provider Details

I. General information

NPI: 1083693154
Provider Name (Legal Business Name): MARSHALL T SCHREEDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 CCI DR NW
HUNTSVILLE AL
35805-2606
US

IV. Provider business mailing address

PO BOX 18428
HUNTSVILLE AL
35804-8428
US

V. Phone/Fax

Practice location:
  • Phone: 256-705-4224
  • Fax: 256-705-4135
Mailing address:
  • Phone: 256-705-4224
  • Fax: 256-705-4135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number9089
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: