Individual
DR. KIRK ROBERT SCHOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
20312 HIGHWAY M-28 WEST, SUITE C, EWEN, MI 49925
(906) 988-2752
(906) 988-2753
Mailing address
PO BOX 254, BRUCE CROSSING, MI 49912-0254
(906) 827-3559
(906) 827-3559
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
L706042
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900F600060
BLUE CROSS/BLUE SHIELD OF
MI
05
—
944461169
—
MI
Enumeration date
11/09/2005
Last updated
01/28/2010
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