Provider Demographics
NPI:1487680740
Name:RAMER, WILLIAM CHARLES III (DO)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:CHARLES
Last Name:RAMER
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 LINDEN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-1880
Mailing Address - Country:US
Mailing Address - Phone:231-796-3200
Mailing Address - Fax:231-796-5562
Practice Address - Street 1:650 LINDEN ST STE 1
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-1880
Practice Address - Country:US
Practice Address - Phone:231-796-3200
Practice Address - Fax:231-796-5562
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101006754207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
700E44551OtherBCBS GROUP NUMBER
MI2704301Medicaid
233841Medicare Oscar/Certification
0M01220Medicare PIN
E91091Medicare UPIN