Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | ME57198 | FL |
Y | 207Q00000X | Family Doctor | 13315 | SC |
N | 207QA0505X | Family Doctor - Adult Medicine | ME57198 | FL |
NPI | 1326034729 |
---|---|
Provider Name | Dr. Michael Bauerschmidt |
First Address | Mount Pleasant, SC 29464-3082 |
Second Address | Mount Pleasant, SC 29464-3082 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C81740 | (02) |