Individual
EDWARD H SCHAEFER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
201 RIDGE ST STE 308, COUNCIL BLUFFS, IA 51503-4643
(712) 328-8892
Mailing address
13215 BIRCH DR STE 100, OMAHA, NE 68164-5431
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS-09600
IA
Other
Enumeration date
03/26/2015
Last updated
08/06/2019
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