MEDICARE: SHERI SCHROEDER PA-C

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
1	363A00000X	Physician Assistant	001313	IA

General Provider Information

NPI Number	:	1063409779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERI SCHROEDER PA-C

Provider Business Mailing Address
First Line	:	507 14TH ST
Second Line	:	DALLAS CENTER MEDICAL ASSOCIATES
City	:	DALLAS CENTER
State	:	IA
Zip	:	50063
Country	:	US
Telephone Number	:	515-992-3711
Fax Number	:	515-992-3803

Provider Business Practice Location Address
First Line	:	507 14TH ST
Second Line	:
City	:	DALLAS CENTER
State	:	IA
Zip	:	50063
Country	:	US
Telephone Number	:	515-992-3711
Fax Number	:	515-992-3803

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	05/03/2013

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Directions to “ SHERI SCHROEDER PA-C” Practice Location

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