Provider Demographics
NPI:1841552700
Name:SCHIERMEIER, MORGAN JOHN (MD)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:JOHN
Last Name:SCHIERMEIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 NORTHSTAR DR
Mailing Address - Street 2:
Mailing Address - City:HOLTS SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:65043-1123
Mailing Address - Country:US
Mailing Address - Phone:573-896-5115
Mailing Address - Fax:573-896-4272
Practice Address - Street 1:180 NORTHSTAR DR
Practice Address - Street 2:
Practice Address - City:HOLTS SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:65043-1123
Practice Address - Country:US
Practice Address - Phone:573-896-5115
Practice Address - Fax:573-896-4272
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012016520207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine