Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 4301040705 | MI |
NPI | 1013080423 |
---|---|
Provider Name | Ronald Schmier |
First Address | Pontiac, MI 48341-1601 |
Second Address | Pontiac, MI 48341-1601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B47300 | (02) | MI |