Provider Demographics
NPI:1215374392
Name:ZIEMER, MICHELLE MAE
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:MAE
Last Name:ZIEMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1577 C ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-5113
Mailing Address - Country:US
Mailing Address - Phone:907-770-0495
Mailing Address - Fax:907-770-0496
Practice Address - Street 1:1577 C ST
Practice Address - Street 2:SUITE 101
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-5113
Practice Address - Country:US
Practice Address - Phone:907-770-0495
Practice Address - Fax:907-770-0496
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator