Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 18181 | CA |
NPI | 1144361866 |
---|---|
Provider Name | Dr. Madeline Decesare Schroeder |
First Address | Fresno, CA 93703-1831 |
Second Address | Fresno, CA 93703-1831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 01/02/2012 |