Healthcare Provider Details

I. General information

NPI: 1467398867
Provider Name (Legal Business Name): MITCHELL CHARLES SCHEMMEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 JFK RD
DUBUQUE IA
52002-5309
US

IV. Provider business mailing address

55 JFK RD
DUBUQUE IA
52002-5309
US

V. Phone/Fax

Practice location:
  • Phone: 563-556-3705
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25540
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: