Organization
MT CLEMENS ORTHOPAEDIC APPLIANCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLF M SCHROETER CO (PRESIDENT)
(586) 463-3500
Entity
Organization
Contact information
Practice address
24432 CROCKER BLVD, CLINTON TWP, MI 48036
(586) 463-3600
(586) 463-6337
Mailing address
24432 CROCKER BLVD, CLINTON TWP, MI 48036
(586) 463-3600
(586) 463-6337
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2712116 TYPE 85
—
MI
01
—
641
BLUE CARE NET
MI
01
—
OE00690
BLUE CROSS
MI
Enumeration date
10/26/2006
Last updated
09/17/2015
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