Schroederus, Kristin M

Schroederus, Kristin M is an individual health care provider with primary practice located at 13133 N Port Washington Rd Suite G-18, Mequon WI 53097-2419. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Schroederus, Kristin M can be contacted via phone (262) 243-5000.

Contact Information

Primary practice address
13133 N Port Washington Rd Suite G-18 Mequon WI 53097-2419
Phone: (262) 243-5000
Fax: (262) 243-5317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 55114 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 55114 Wisconsin

Profile Details

NPI number 1649314832
LBN Legal business name Schroederus, Kristin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Nov 9th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649314832 NPPES
Wisconsin MEDICAID 1649314832

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