Dowagiac Medical Associates PC

Organization Active NPI Internal Medicine Physician · Dowagiac, MI

NPI 1699838243 · NPPES record last updated Jun 16, 2008

Key facts

NPI
1699838243
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
5101005813 (MI)
Legal business name
DOWAGIAC MEDICAL ASSOCIATES PC
Practice address
400 W Division St
Dowagiac, MI 49047-1704
Phone
(269) 782-2111
Fax
(269) 782-9852
NPI assigned
Dec 18, 2006
Organization subpart
No

Authorized official

Name
Dr. James Lee Wierman, DO
Title
President
Phone
(269) 782-2111

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

400 W Division St
Dowagiac, MI 49047
Phone (269) 782-2111

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X 5101005813 MI Yes

Addresses

Primary practice location

400 W Division St
Dowagiac, MI 49047-1704

Mailing address

PO Box 378
Dowagiac, MI 49047-0378
Phone (269) 782-2111

Other identifiers

IdentifierTypeStateIssuer
110A410240OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
233904OtherMIOSCAR
111371059MedicaidMI

Other providers in Dowagiac, MI

All providers in Dowagiac, MI · Internal Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.