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General NPI Number Information
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NPI Number | 1447339809
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Entity Type | Individual
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Provider Name | JEFFREY DAVID SCHROEDER DO
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Gender | Male
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Dates
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Enumeration Date | 11/04/2006
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 5000 MEMORIAL DR
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City | TWO RIVERS
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State | WI
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Zip | 54241-3900
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Country | US
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Telephone | 920-794-5125
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Fax | 920-794-5465
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Provider Business Mailing Address
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Address Line | 1035 KEPLER DR
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City | GREEN BAY
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State | WI
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Zip | 54311-8320
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Country | US
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Telephone | 920-490-9046
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 48823-21
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 48823-021
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 209800000X
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Taxonomy Name | Legal Medicine (M.D./D.O.) Physician
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License Number | 48823
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 48823
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License Number State | WI
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