Provider Demographics
NPI:1225191794
Name:ROBERT K SCHRETER, MD,LLC
Entity Type:Organization
Organization Name:ROBERT K SCHRETER, MD,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:KOLKER
Authorized Official - Last Name:SCHRETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-494-9222
Mailing Address - Street 1:2360 W JOPPA RD
Mailing Address - Street 2:SUITE 222
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4624
Mailing Address - Country:US
Mailing Address - Phone:410-494-9222
Mailing Address - Fax:410-494-1418
Practice Address - Street 1:2360 W JOPPA RD
Practice Address - Street 2:SUITE 222
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4624
Practice Address - Country:US
Practice Address - Phone:410-494-9222
Practice Address - Fax:410-494-1418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty