Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 9089 | AL |
NPI | 1083693154 |
---|---|
Provider Name | Dr. Marshall T Schreeder |
First Address | Huntsville, AL 35804-8428 |
Second Address | Huntsville, AL 35805-2606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 20/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000013036 | (05) | AL |
110031747 | RR MEDICARE (01) | AL |
51013036 | BLUE CROSS OF ALABAMA (01) | |
510-50070 | BCBS OF ALABAMA (01) | AL |
528701110 | (05) | AL |
C74041 | (02) | |
CA0084 | RR MEDICARE (01) | AL |