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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649314832 | NPPES |
| Wisconsin | MEDICAID | 1649314832 |
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