Organization
ANDREW S RIEMER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW S RIEMER DO (CEO)
(231) 861-4567
Entity
Organization
Contact information
Practice address
4140 W SHELBY RD, SHELBY, MI 49455-9660
(231) 861-4567
(231) 861-5758
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
01
—
180E300150
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
180E310290
BCBS OF MICHIGAN
MI
05
—
4498463
—
MI
01
—
820000297
RAILROAD MEDICARE
MI
01
—
900E300160
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
900F410030
BCBS OF MICHIGAN
MI
Enumeration date
07/23/2006
Last updated
06/14/2010
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