Organization
LOUIS C. TEGTMEYER, D.O. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS C TEGTMEYER D.O. (PRESIDENT)
(734) 762-9111
Entity
Organization
Contact information
Practice address
35600 CENTRAL CITY PKWY, SUITE 101, WESTLAND, MI 48185
(734) 762-9111
(734) 762-9113
Mailing address
35600 CENTRAL CITY PKWY, SUITE 101, WESTLAND, MI 48185-2046
(734) 762-9111
(734) 762-9113
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101010517
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0258209255
BLUE CROSS BLUE SHIELD
MI
05
—
113331910
—
MI
Enumeration date
06/27/2007
Last updated
01/12/2015
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