Organization
BOETTCHER HOME MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BOETTCHER (OWNER)
(989) 928-1091
Entity
Organization
Contact information
Practice address
6230 DIXIE HWY, BRIDGEPORT, MI 48722-9513
(989) 777-2196
(989) 777-3384
Mailing address
6230 DIXIE HWY, BRIDGEPORT, MI 48722-9513
(989) 777-2196
(989) 777-3384
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
D1437T
MI
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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