Provider Demographics
NPI:1043218621
Name:GEIMER, SHARON K (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:K
Last Name:GEIMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:44344 DEQUINDRE RD
Mailing Address - Street 2:SUITE 480
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-1003
Mailing Address - Country:US
Mailing Address - Phone:586-323-8935
Mailing Address - Fax:586-323-9058
Practice Address - Street 1:44344 DEQUINDRE RD
Practice Address - Street 2:SUITE 480
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-1003
Practice Address - Country:US
Practice Address - Phone:586-323-8935
Practice Address - Fax:586-323-9058
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301061283207R00000X
MI061587208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4204493Medicaid
MION236500002Medicare PIN
MIG49354Medicare UPIN