Individual
PAULA KAY SCHRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
46591 ROMEO PLANK RD, 205, MACOMB TWP, MI 48044-5742
(586) 226-6250
(586) 226-6255
Mailing address
22101 MOROSS RD, 5 WEST, DETROIT, MI 48236-2148
(313) 343-3146
(313) 417-1247
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301070703
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E011720
BCBS GROUP NUMBER
MI
01
—
0Q262160
BCBS GROUP NUMBER
MI
05
—
4172308
—
MI
Enumeration date
12/21/2005
Last updated
07/29/2010
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