Provider Demographics
NPI:1033496088
Name:SCHLOTFELDT, RONALD BRENT II (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:BRENT
Last Name:SCHLOTFELDT
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:4480 UTICA RIDGE RD
Mailing Address - Street 2:STE 2230
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-1656
Mailing Address - Country:US
Mailing Address - Phone:563-742-5150
Mailing Address - Fax:563-742-5165
Practice Address - Street 1:4480 UTICA RIDGE RD
Practice Address - Street 2:STE 2230
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-1656
Practice Address - Country:US
Practice Address - Phone:563-742-5150
Practice Address - Fax:563-742-5165
Is Sole Proprietor?:No
Enumeration Date:2011-11-04
Last Update Date:2012-08-15
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Provider Licenses
StateLicense IDTaxonomies
IA40415207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1033496088Medicaid