Margaret Rose Bruder, CMT
Individual provider Active NPI Contractor · Kalamazoo, MI
NPI 1730414715 · NPPES record last updated Oct 8, 2009
Key facts
- NPI
- 1730414715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 3217 Greenleaf Blvd
Kalamazoo, MI 49008-2596 - Phone
- (269) 271-1977
- NPI assigned
- Oct 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MI | Yes |
Addresses
Primary practice location
3217 Greenleaf Blvd
Kalamazoo, MI 49008-2596
Mailing address
2423 Lomond Dr
Kalamazoo, MI 49008-4306
Phone (269) 381-1763
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.