Provider Demographics
NPI:1386006682
Name:SCHROEDER, ALLISON NICOLE
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:NICOLE
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11100 EUCLID AVE
Mailing Address - Street 2:HAN 5043
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-5043
Mailing Address - Country:US
Mailing Address - Phone:216-844-7200
Mailing Address - Fax:216-844-5970
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:HAN 5043
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-5043
Practice Address - Country:US
Practice Address - Phone:216-844-7200
Practice Address - Fax:216-844-5970
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2023-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1448512081S0010X
MN668552081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine