Provider Demographics
NPI:1912335118
Name:SCHIRMER, MICHAEL A (PHARMD, BCPS)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:SCHIRMER
Suffix:
Gender:M
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 E JEFFERSON ST STE 600
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5649
Mailing Address - Country:US
Mailing Address - Phone:206-320-2982
Mailing Address - Fax:206-991-2140
Practice Address - Street 1:1600 E JEFFERSON ST STE 600
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5649
Practice Address - Country:US
Practice Address - Phone:206-320-2982
Practice Address - Fax:206-991-2140
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60428741183500000X
MI5302035363183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1912335118Medicaid