Provider Demographics
NPI:1821841776
Name:SEUFERER, EMILY (OD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SEUFERER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:LUCAS
Mailing Address - State:IA
Mailing Address - Zip Code:50151-9680
Mailing Address - Country:US
Mailing Address - Phone:641-203-8466
Mailing Address - Fax:
Practice Address - Street 1:1350 SE UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-8933
Practice Address - Country:US
Practice Address - Phone:515-987-3937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program