Provider Demographics
NPI:1053454298
Name:SCHROEDER, FRANZ MICHAEL (MD, PS)
Entity Type:Individual
Prefix:DR
First Name:FRANZ
Middle Name:MICHAEL
Last Name:SCHROEDER
Suffix:
Gender:M
Credentials:MD, PS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2532 265TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-9094
Mailing Address - Country:US
Mailing Address - Phone:425-836-8538
Mailing Address - Fax:425-836-8538
Practice Address - Street 1:2532 265TH AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-9094
Practice Address - Country:US
Practice Address - Phone:425-836-8538
Practice Address - Fax:425-836-8538
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA20367174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAA07042Medicare UPIN