Organization
KALAMAZOO ORTHOTICS & DIABETIC SHOES INC
Active
Organization
KALAMAZOO ORTHOTICS & DIABETIC SHOES INC
Active
Other names
Corey's Bootery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES F BLOOMFIELD III C-PED (PEDORTIST/OWNER)
(269) 349-2247
Entity
Organization
Contact information
Practice address
1016 E CORK ST, KALAMAZOO, MI 49001-4823
(269) 349-2247
(269) 349-0529
Mailing address
1016 E CORK ST, KALAMAZOO, MI 49001-4823
(269) 349-2247
(269) 349-0529
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C90031
BCBSM
MI
Enumeration date
01/13/2009
Last updated
03/01/2013
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