Basic Information
Provider Information
NPI: 1720287048
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHROYER
FirstName: DANIEL
MiddleName: CHRISTOPHER
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 N PARK ST
Address2:  
City: KALAMAZOO
State: MI
PostalCode: 490073731
CountryCode: US
TelephoneNumber: 2693737488
FaxNumber: 2693730123
Practice Location
Address1: 200 N PARK ST
Address2:  
City: KALAMAZOO
State: MI
PostalCode: 490073731
CountryCode: US
TelephoneNumber: 2693737488
FaxNumber: 2693730123
Other Information
ProviderEnumerationDate: 07/17/2007
LastUpdateDate: 10/15/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001X52366MNY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

No ID Information.


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