| Andrew J. Schroettner, Mdsc | |
|
888 Thackeray Trl Suite 211 Oconomowoc WI 53066-4342 | |
| (262) 567-1122 | |
| (262) 567-1481 |
| Full Name | Andrew J. Schroettner, Mdsc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 888 Thackeray Trl, Oconomowoc, Wisconsin |
| Authorized Official Name and Position | Andrew J Schroettner (OWNER) |
| Authorized Official Contact | 2625671122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew J. Schroettner, Mdsc 888 Thackeray Trl Suite 211 Oconomowoc WI 53066-4342 Ph: (262) 567-1122 | Andrew J. Schroettner, Mdsc 888 Thackeray Trl Suite 211 Oconomowoc WI 53066-4342 Ph: (262) 567-1122 |
| NPI Number | 1790992170 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7416044474 |
|---|---|
| Medicare Enrollment ID | O20071107000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790992170 | NPI | - | NPPES |
| 31941000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 34568 (Wisconsin) | Primary |
| Provider Name | Andrew J Schroettner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043245459 PECOS PAC ID: 2769378611 Enrollment ID: I20040226000487 |
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