Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 66855 | MN |
Y | 213ES0000X | Sports Medicine | 66855 | MN |
NPI | 1386006682 |
---|---|
Provider Name | Allison Nicole Schroeder |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2016 |
Last Update Date | 01/11/2021 |