Healthcare Provider Details

I. General information

NPI: 1225049976
Provider Name (Legal Business Name): WILLIAM J SCHIRMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 01/05/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 W CENTRAL AVE SUITE 303
DELAWARE OH
43015-1493
US

IV. Provider business mailing address

561 W CENTRAL AVE
DELAWARE OH
43015-1410
US

V. Phone/Fax

Practice location:
  • Phone: 740-615-0350
  • Fax: 740-615-1359
Mailing address:
  • Phone: 740-615-1324
  • Fax: 740-615-1344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35051363
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: