Provider Demographics
NPI:1417957945
Name:BIEREMA, HERMINIA PEREZ (MD)
Entity Type:Individual
Prefix:DR
First Name:HERMINIA
Middle Name:PEREZ
Last Name:BIEREMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W UNIVERSITY DR STE 207
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1875
Mailing Address - Country:US
Mailing Address - Phone:248-656-3440
Mailing Address - Fax:248-656-8504
Practice Address - Street 1:1000 W UNIVERSITY DR STE 207
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-1875
Practice Address - Country:US
Practice Address - Phone:248-656-3440
Practice Address - Fax:248-656-8504
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301048948208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3328665Medicaid
MIP49945OtherBCN
MI350F314530OtherBCBS OF MI
MIP49945OtherBCN