Organization
BREMER PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT R BARANEK CP (PRESIDENT/OWNER)
(810) 733-3375
Entity
Organization
Contact information
Practice address
3995 FASHION SQUARE BLVD STE 11, SAGINAW, MI 48603-2268
(989) 249-9400
Mailing address
3995 FASHION SQUARE BLVD STE 11, SAGINAW, MI 48603-2268
(989) 249-9400
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4089981
—
MI
Enumeration date
08/17/2006
Last updated
06/08/2022
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