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NPI Code Detail

MEDICARE: DR. TREVOR NORMAN SCHROEDER DO

MEDICARE: DR. TREVOR NORMAN SCHROEDER DO
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 Physician34.015980OH

General Provider Information

NPI Number : 1548824923
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TREVOR NORMAN SCHROEDER DO
Provider Business Mailing Address
First Line : 34960 CENTER RIDGE RD
Second Line :
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-3183
Country : US
Telephone Number : 440-327-1050
Fax Number : 440-327-1075
Provider Business Practice Location Address
First Line : 34960 CENTER RIDGE RD
Second Line :
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-3183
Country : US
Telephone Number : 440-327-1050
Fax Number : 440-327-1075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2019
Last Update Date : 07/11/2022

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