Provider Demographics
NPI:1174507503
Name:SCHROEDER, ARTHUR MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:MARTIN
Last Name:SCHROEDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3355 DOUGLAS RD
Mailing Address - Street 2:STE. 300
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46635-1781
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:615 N MICHIGAN ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46601-1033
Practice Address - Country:US
Practice Address - Phone:574-647-6225
Practice Address - Fax:574-647-1094
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2009-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01049858A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200206160Medicaid
IN200206160Medicaid
IN225380GMedicare PIN