Individual
MS. ANGELA SCHMIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-9869
(309) 762-2313
Mailing address
525 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-9869
(309) 762-2313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001659
IA
363A00000X
Physician Assistant
Primary
085002345
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356300909
—
IA
01
—
90274
BCWELLMARK
—
01
—
90282
BCWELLMARK
—
01
—
IA0101
JOHN DEERE IOWA
—
01
—
IL0181
JOHN DEERE ILLINOIS
—
Enumeration date
03/22/2006
Last updated
05/21/2012
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