Provider Demographics
NPI:1891300281
Name:RIEMER DERMATOLOGY PLLC
Entity Type:Organization
Organization Name:RIEMER DERMATOLOGY PLLC
Other - Org Name:RIEMER DERMATOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:616-350-2901
Mailing Address - Street 1:6785 N HAMLIN SHOALS LN
Mailing Address - Street 2:
Mailing Address - City:LUDINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:49431-8516
Mailing Address - Country:US
Mailing Address - Phone:616-350-2901
Mailing Address - Fax:
Practice Address - Street 1:5959 LAWNDALE ST
Practice Address - Street 2:
Practice Address - City:LUDINGTON
Practice Address - State:MI
Practice Address - Zip Code:49431-2921
Practice Address - Country:US
Practice Address - Phone:231-268-0302
Practice Address - Fax:405-337-9738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-11
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty