Organization
DOWAGIAC MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LEE WIERMAN DO (PRESIDENT)
(269) 782-2111
Entity
Organization
Contact information
Practice address
400 W DIVISION ST, DOWAGIAC, MI 49047-1704
(269) 782-2111
(269) 782-9852
Mailing address
PO BOX 378, DOWAGIAC, MI 49047-0378
(269) 782-2111
(269) 782-9852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101005813
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110A410240
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
111371059
—
MI
01
—
233904
OSCAR
MI
Enumeration date
12/18/2006
Last updated
06/16/2008
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