Individual
MR. MICHAEL DALE SCHMIESING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 EBAUGH ST, GLENWOOD, IA 51534-1811
(712) 527-5204
(712) 527-9346
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38558
IA
207Q00000X
Family Medicine Physician
SD5550
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609870948
—
IA
05
—
47068731708
—
NE
05
—
47068731712
—
NE
05
—
47068731777
—
NE
05
—
5611733
—
SD
05
—
5611734
—
SD
Enumeration date
06/01/2005
Last updated
12/17/2013
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