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NPI Code Detail

MEDICARE: WESLEY MICHAEL SCHIEMAN R.PH.

MEDICARE: WESLEY MICHAEL SCHIEMAN R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5302030768MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15302030768OTHERMIPHARMACIST LICENSE

General Provider Information

NPI Number : 1851417893
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY MICHAEL SCHIEMAN R.PH.
Provider Business Mailing Address
First Line : 1805 LOREE RD.
Second Line :
City : APPLEGATE
State : MI
Zip : 48401-9726
Country : US
Telephone Number : 810-633-9545
Fax Number :
Provider Business Practice Location Address
First Line : 6480 MAIN ST
Second Line :
City : CASS CITY
State : MI
Zip : 48726-1143
Country : US
Telephone Number : 989-872-3613
Fax Number : 989-872-5149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 07/18/2013

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