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Organization

ANDREW S RIEMER DOPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW S RIEMER DO (OWNER/PRESIDENT)
(231) 845-6261
Entity
Organization

Contact information

Practice address
502 COBB ST, CADILLAC, MI 49601-2577
(231) 775-1248
(231) 775-1156
Mailing address
5959 LAWNDALE ST, LUDINGTON, MI 49431-2921
(231) 845-6261
(231) 843-9171

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710908629
MI
01
180E310290
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
820000297
RR MEDICARE
MI
01
900E300160
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
09/19/2013
Last updated
05/20/2015
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