Doctor Name: | ALAN SCHRAM |
NPI Number: | 1013912724 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | AS400226 |
Business Practice Address: | 6704 Park Ave Allen Park, MI - 481012034 |
Business Phone Number: | 3133867920 |
Business Fax Number: | |
Mailing Address: | 6096 Pickwood Ct, WEST BLOOMFIELD |
State: | MI |
Postal Code: | 483222218 |
Phone Number: | 2488559484 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2005 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | AS400226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |