Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 41736 | MN |
Y | 207P00000X | Emergency Physician | DR.0055584 | CO |
N | 207PP0204X | Pediatric Emergency Physician | 41736 | MN |
N | 208000000X | Pediatrician | 41736 | MN |
N | 2080P0204X | Pediatric Emergency Doctor | 41736 | MN |
NPI | 1336226455 |
---|---|
Provider Name | Dr. Cynthia L. Schroeder |
First Address | Tampa, FL 33607 |
Second Address | Denver, CO 80218-1235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 22/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
582020100 | (05) | MN |
H06755 | (02) |