MEDICARE: DR. TED SCHIERER PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist
2	174H00000X	Health Educator

General Provider Information

NPI Number	:	1306379961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TED SCHIERER PH.D.

Provider Business Mailing Address
First Line	:	8350 EP TRUE PARKWAY
Second Line	:	UNIT 1201
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8321
Country	:	US
Telephone Number	:	515-230-8253
Fax Number	:

Provider Business Practice Location Address
First Line	:	8350 EP TRUE PARKWAY
Second Line	:	UNIT 1201
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8321
Country	:	US
Telephone Number	:	515-230-8253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2017
Last Update Date	:	04/10/2017

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