Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas R Diemer, PA-C

Individual provider Physician Assistant · NPI 1518037878

Douglas R Diemer, PA-C is a Physician Assistant in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3200 W Centre Ave Ste 203
Portage, MI 49024-4889
Phone: (269) 324-0799
Fax: (269) 324-8013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004477 (MI)

Record details

NPI number1518037878
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022

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