Provider Demographics
NPI:1386427458
Name:SCHROEDER, MARGARET (MPH, RDN, LDN)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:MPH, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7850 N CLUB CIR
Mailing Address - Street 2:
Mailing Address - City:FOX POINT
Mailing Address - State:WI
Mailing Address - Zip Code:53217-2939
Mailing Address - Country:US
Mailing Address - Phone:414-690-8670
Mailing Address - Fax:
Practice Address - Street 1:3940 HONEYCUTT ST APT 2
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-6126
Practice Address - Country:US
Practice Address - Phone:414-690-8670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86301639133V00000X
CA86301639133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered