Provider Demographics
NPI:1619141652
Name:MICHAEL G SCHERER DO INC
Entity Type:Organization
Organization Name:MICHAEL G SCHERER DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHERER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:419-448-9728
Mailing Address - Street 1:2815 S STATE ROUTE 100
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-8974
Mailing Address - Country:US
Mailing Address - Phone:419-448-9728
Mailing Address - Fax:419-448-4531
Practice Address - Street 1:2815 S STATE ROUTE 100
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-8974
Practice Address - Country:US
Practice Address - Phone:419-448-9728
Practice Address - Fax:419-448-4531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4354208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0695994Medicaid
OH0695994Medicaid