| Todd J Schroeder, MD | |
|
2300 Western Avenue, Manitowoc, WI 54221-1450 | |
| (920) 684-2255 | |
| Not Available |
| Full Name | Todd J Schroeder |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2300 Western Avenue, Manitowoc, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982639142 | NPI | - | NPPES |
| 32053000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 31384 (Wisconsin) | Primary |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd J Schroeder, MD Po Box 1450, Manitowoc, WI 54221-1450 Ph: (920) 684-5560 | Todd J Schroeder, MD 2300 Western Avenue, Manitowoc, WI 54221-1450 Ph: (920) 684-2255 |
Matthew Koeberl, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Lakeshore Radiology, Manitowoc, WI 54220 Phone: 920-320-3800 | |
Stephen L Dudek, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Avenue, Manitowoc, WI 54221 Phone: 920-684-2255 | |
Thomas A Keller, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Avenue, Manitowoc, WI 54221 Phone: 920-684-2255 |