Provider Demographics
NPI:1346364973
Name:SCHROEDER, RODNEY MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:MICHAEL
Last Name:SCHROEDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 CENTRAL AVE E
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:IA
Mailing Address - Zip Code:50525-1620
Mailing Address - Country:US
Mailing Address - Phone:515-532-2425
Mailing Address - Fax:515-532-2430
Practice Address - Street 1:920 CENTRAL AVE E
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:IA
Practice Address - Zip Code:50525-1620
Practice Address - Country:US
Practice Address - Phone:515-532-2425
Practice Address - Fax:515-532-2430
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06961111N00000X
MN4983111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0760447Medicaid
IAV11865Medicare UPIN
IA0760447Medicaid