Healthcare Provider Details

I. General information

NPI: 1487680740
Provider Name (Legal Business Name): WILLIAM CHARLES RAMER III DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 06/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 LINDEN ST STE 1
BIG RAPIDS MI
49307-1880
US

IV. Provider business mailing address

650 LINDEN ST STE 1
BIG RAPIDS MI
49307-1880
US

V. Phone/Fax

Practice location:
  • Phone: 231-796-3200
  • Fax: 231-796-5562
Mailing address:
  • Phone: 231-796-3200
  • Fax: 231-796-5562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101006754
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: