Organization
PETER E SCHAFFER DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER E SCHAFFER DPM (SOLE PROPRIETOR)
(248) 594-3338
Entity
Organization
Contact information
Practice address
600 N OLD WOODWARD AVE, SUITE 202, BIRMINGHAM, MI 48009-1324
(248) 594-3338
Mailing address
600 N OLD WOODWARD AVE, SUITE 202, BIRMINGHAM, MI 48009-1324
(248) 594-3338
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5901000620
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4650420001
MEDICARE SUPPLIER PIN NUMBER
MI
Enumeration date
12/08/2011
Last updated
03/01/2012
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