David J Schriemer, M.D.
Individual provider Active NPI Family Medicine Physician · Vicksburg, MI
NPI 1386648244 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1386648244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DS054120 (MI)
- Practice address
- 13320 N Boulevard St
Vicksburg, MI 49097-1514 - Phone
- (269) 649-2012
- Fax
- (269) 649-3752
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS054120 | MI | MD | Family Medicine Physician |
Interoperability endpoints
- dschriemer88177@direct.bronsonhg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | DS054120 | MI | Yes |
Addresses
Primary practice location
13320 N Boulevard St
Vicksburg, MI 49097-1514
Mailing address
13320 N Boulevard St
Vicksburg, MI 49097-1514
Phone (269) 649-2012
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2709317 | Medicaid | MI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct |
Other providers in Vicksburg, MI
- Megan Elizabeth Richardson
- Robert L Dornbos DDS PC
- Karolina Rosol
- Amy Schaafsma
- Elizabeth Grace Schreur
- Kelly Ann Soekarmoen
- South County EMS Inc
- South County Home Health Providers
- Southern Michigan Foot & Ankle, PLC
- Felisha Faye Spence
All providers in Vicksburg, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.