Provider Demographics
NPI:1861871105
Name:SCHROEDER, SAMUEL (MD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1221 PLEASANT ST STE A100
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1428
Mailing Address - Country:US
Mailing Address - Phone:515-241-4330
Mailing Address - Fax:515-241-4363
Practice Address - Street 1:1221 PLEASANT ST STE A100
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1428
Practice Address - Country:US
Practice Address - Phone:515-241-4330
Practice Address - Fax:515-241-4363
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-470642085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology