Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | MD-43494 | IA |
NPI | 1326364449 |
---|---|
Provider Name | Trevor Richard Schmitz |
First Address | Des Moines, IA 50314-3045 |
Second Address | Des Moines, IA 50314-3045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2010 |
Last Update Date | 11/08/2016 |