Provider Demographics
NPI:1306840939
Name:PEIMER, MICHAEL E (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:PEIMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 SPEER RD
Mailing Address - Street 2:STE 5
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-1033
Mailing Address - Country:US
Mailing Address - Phone:410-778-0200
Mailing Address - Fax:410-778-6647
Practice Address - Street 1:122 SPEER RD
Practice Address - Street 2:STE 5
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-1033
Practice Address - Country:US
Practice Address - Phone:410-778-0200
Practice Address - Fax:410-778-6647
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060301207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD402748500Medicaid
MD228N247GMedicare ID - Type Unspecified
MD402748500Medicaid