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NPI Code Detail

MEDICARE: DR. REBECCA LYNN SCHROEDER MD

MEDICARE: DR. REBECCA LYNN SCHROEDER MD
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
1207Q00000XFamily Medicine Physician35083479OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356317168
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA LYNN SCHROEDER MD
Provider Business Mailing Address
First Line : 6835 BROADWAY AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-1313
Country : US
Telephone Number : 216-957-1650
Fax Number : 216-957-1695
Provider Business Practice Location Address
First Line : 6835 BROADWAY AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-1313
Country : US
Telephone Number : 216-957-1650
Fax Number : 216-957-1695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 10/30/2012

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