Individual
MR. WYATT ALLEN SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3502 METRO DRIVE, SUITE 200, COUNCIL BLUFFS, IA 51501-7724
(712) 256-7172
(712) 256-7374
Mailing address
3502 METRO DRIVE, SUITE 200, COUNCIL BLUFFS, IA 51501-7724
(712) 256-7172
(712) 256-7374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002355
IA
363A00000X
Physician Assistant
1680
NE
Other
Enumeration date
10/30/2012
Last updated
07/30/2015
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