If the tree is doing well now, I see no need to fertilize or use cambistat.
Dutch Elm Disease (DED) is in every county of Iowa, so it is in your best interest to protect high value trees with chemical injections.
Mauget injections were mentioned and they are not my first choice. The problem with micro-injections is the chemical is injected at full concentration and in very small amounts. There can be significant burning at the injections sites, and the lower trunk of a tree is a bad place for pockets of decay. Distribution through the tree is not as complete with micro-injections as they are when macro-injections are used.
With macro-injections, the same amount of chemical is used, but it is diluted in about 30 gallons of water and injected directly into the roots with a small pump. There is little or no burning, and because of the amount of solution, coverage is far better. Also important is injecting into the roots, where wound compartmentalization is much better.
There is another method of getting the chemical into the tree, called a gravity feed system. This dilutes the chemical in about two gallons of water and uses tubes, and tees drilled into the root flare just like macro-injection. The system is hung on the tree several feet above the tees and the solution is feed to the roots by gravity, very much like an I.V. you might get at the hospital. Transpirational pull takes it up the tree. The gravity feed system is good, but not as good as the macro-injection, mainly because of the smaller amount of solution.