Healthcare Provider Details

I. General information

NPI: 1275796799
Provider Name (Legal Business Name): MARCUS HEATH SCHROEDER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 02/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 HARRISBURG PIKE STE 1
LANCASTER PA
17601
US

IV. Provider business mailing address

2112 HARRISBURG PIKE STE 1
LANCASTER PA
17601
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-3577
  • Fax: 717-544-3579
Mailing address:
  • Phone: 717-544-3577
  • Fax: 717-544-3579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC006261
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: