MEDICARE: NICHOLAS SCHROEDER M.D.

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	207X00000X	Orthopaedic Surgery Physician	4301099288	MI

General Provider Information

NPI Number	:	1952698870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS SCHROEDER M.D.

Provider Business Mailing Address
First Line	:	44038 WOODWARD AVE STE 200
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-5037
Country	:	US
Telephone Number	:	248-335-2977
Fax Number	:	248-712-4939

Provider Business Practice Location Address
First Line	:	44038 WOODWARD AVE STE 200
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-5037
Country	:	US
Telephone Number	:	248-335-2977
Fax Number	:	248-712-4939

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

Provider Enumeration Date	:	06/29/2011
Last Update Date	:	07/21/2022

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