Provider Demographics
NPI:1780661108
Name:SCHROEDER, DANIEL J (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:SCHROEDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1601 NW 114TH ST
Mailing Address - Street 2:STE 347
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50325-7046
Mailing Address - Country:US
Mailing Address - Phone:515-224-1777
Mailing Address - Fax:515-222-0226
Practice Address - Street 1:1601 NW 114TH ST
Practice Address - Street 2:STE 347
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50325-7046
Practice Address - Country:US
Practice Address - Phone:515-224-1777
Practice Address - Fax:515-222-0226
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA28694207RI0200X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Not Answered2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0082578Medicaid
IA73010OtherCOVENTRY
IA08177OtherWELLMARK
IA18696OtherMIDLAND'S CHOICE
IA966269OtherUNITED HEALTHCARE
IAIA0117OtherUHC OF THE RIVER VALLEY
IA18696OtherMIDLAND'S CHOICE
D26274Medicare UPIN