Schroeder, Donna Marie

Schroeder, Donna Marie is an individual health care provider with primary practice located at 3600 Tower Ave Suite 2, Superior WI 54880-5337. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Schroeder, Donna Marie can be contacted via phone (715) 392-5411.

Contact Information

Primary practice address
3600 Tower Ave Suite 2 Superior WI 54880-5337
Fax: (715) 392-5086
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3346 Wisconsin

Profile Details

NPI number 1992718019
LBN Legal business name Schroeder, Donna Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Dec 12th, 2012 - about 12 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 1992718019 NPPES
Minnesota MEDICAID 505020500
Minnesota MEDICAID 33467600
Minnesota Other 3346

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