Healthcare Provider Details

I. General information

NPI: 1265755631
Provider Name (Legal Business Name): ROBERT H. SCHNEIDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2010
Last Update Date: 03/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 MANSION DRIVE SUITE 211 - INMP
MAHARISHI VEDIC CITY IA
52556
US

IV. Provider business mailing address

2100 MANSION DRIVE SUITE 211
MAHARISHI VEDIC CITY IA
52556
US

V. Phone/Fax

Practice location:
  • Phone: 641-472-4600
  • Fax: 641-209-6015
Mailing address:
  • Phone: 641-472-4600
  • Fax: 641-209-6015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number24536
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: