Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 30340 | AL |
N | 111NI0900X | Internist | 30340 | AL |
N | 207RC0200X | Critical Care Medicine | 30340 | AL |
Y | 207RP1001X | Pulmonary Disease | 30340 | AL |
NPI | 1003097114 |
---|---|
Provider Name | Dr. Karl Tullio Schroeder |
First Address | Cullman, AL 35055-1921 |
Second Address | Cullman, AL 35058-1273 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2007 |
Last Update Date | 27/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1598717381 | (05) | AL |
184047 | (05) | AL |
30340 | ALABAMA MEDICAL LICENSURE COMMISSION (01) | AL |