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Individual

MR. ROBERT A SCHOENFELDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3290
Mailing address
PO BOX 683, SIOUX CITY, IA 51102-0683
(712) 279-3290

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D-053906
IA
367500000X
Certified Registered Nurse Anesthetist
R014513
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0123695
IA
05
0123802
IA
Enumeration date
05/31/2006
Last updated
07/12/2010
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