Healthcare Provider Details

I. General information

NPI: 1235876301
Provider Name (Legal Business Name): ALFRED JAMES WALTER SCHMALFUHS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2022
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 PRAIRIE PKWY STE 205
CEDAR FALLS IA
50613-8155
US

IV. Provider business mailing address

5100 PRAIRIE PKWY STE 205
CEDAR FALLS IA
50613-8155
US

V. Phone/Fax

Practice location:
  • Phone: 319-222-2711
  • Fax: 319-222-2714
Mailing address:
  • Phone: 319-222-2711
  • Fax: 319-222-2714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR-12432
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number85730
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: