Provider Demographics
NPI:1952439556
Name:SCHROEDER, MICHAEL CARL (ATC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:CARL
Last Name:SCHROEDER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3238 BEAUJARDIN DR.
Mailing Address - Street 2:APT. 323
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910
Mailing Address - Country:US
Mailing Address - Phone:765-427-5059
Mailing Address - Fax:
Practice Address - Street 1:DUFFY DAUGHERTY FOOTBALL BUILDING
Practice Address - Street 2:MICHIGAN STATE UNIVERSITY
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48824
Practice Address - Country:US
Practice Address - Phone:517-353-1655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer