Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2020-01648 | NC |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 2020-01648 | NC |
NPI | 1003158809 |
---|---|
Provider Name | Dr. Michelle Nicole Schroeder |
First Address | Durham, NC 27713-1895 |
Second Address | Greensboro, NC 27405-6967 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2013 |
Last Update Date | 16/11/2021 |