Organization
HKB CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN BREMER D.P.M. (PRESIDENT)
(810) 989-7711
Entity
Organization
Contact information
Practice address
4190 24TH AVE, SUITE 104, FORT GRATIOT, MI 48059-3882
(810) 989-7711
(810) 987-7111
Mailing address
4190 24TH AVE, SUITE 104, FORT GRATIOT, MI 48059-3882
(810) 989-7711
(810) 987-7111
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901000901
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5745003
BCBS
MI
Enumeration date
12/08/2006
Last updated
05/12/2008
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