Individual
DR. JAMES LEE WIERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
05
—
1371059
—
MI
01
—
233904
MEDICARE RURAL HEALTH
MI
01
—
9140001
BLUE CROSS BLUE SHIELD
MI
01
—
CL2379
MEDICARE RAILROAD
MI
Enumeration date
01/18/2006
Last updated
04/09/2008
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