Provider Demographics
NPI:1215466248
Name:SCHROEDER, IAN GARRET (MD)
Entity type:Individual
Prefix:DR
First Name:IAN
Middle Name:GARRET
Last Name:SCHROEDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 402 BOX 813
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180-0009
Mailing Address - Country:US
Mailing Address - Phone:805-451-2247
Mailing Address - Fax:
Practice Address - Street 1:LRMC
Practice Address - Street 2:DR HITZELBERGERSTRASSE
Practice Address - City:LANDSTUHL
Practice Address - State:RHINELAND
Practice Address - Zip Code:66849
Practice Address - Country:DE
Practice Address - Phone:805-451-2247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-04
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA157569207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery