Healthcare Provider Details

I. General information

NPI: 1073305553
Provider Name (Legal Business Name): COLTEN ALLEN SCHAU DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 PLEASANT ST
DES MOINES IA
50309-1406
US

IV. Provider business mailing address

17250 W 94TH TER APT 3203
LENEXA KS
66219-2549
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-5586
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberR-13446
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: