Healthcare Provider Details

I. General information

NPI: 1245915164
Provider Name (Legal Business Name): MORGAN ELIZABETH SCHIRMER RDMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 06/19/2023
Certification Date: 06/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6415 NORMANDY DR STE B
SAGINAW MI
48638-8301
US

IV. Provider business mailing address

7210 DUTCH RD
SAGINAW MI
48609-9580
US

V. Phone/Fax

Practice location:
  • Phone: 989-770-2332
  • Fax:
Mailing address:
  • Phone: 989-770-2332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number187005
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: