Individual
DR. THOMAS CARLL SCHERMERHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684
(231) 392-0640
Mailing address
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684-2360
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301083353
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130B813210
BCBS GROUP
MI
01
—
1402810380
BCBS OF MICHIGAN
MI
05
—
4625744 TYPE 10
—
MI
01
—
P00344571
RAILROAD MEDICARE
MI
Enumeration date
06/21/2005
Last updated
12/29/2020
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