Provider Demographics
NPI:1073034757
Name:SCHLOSSER, MARGARET ANN (OD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:SCHLOSSER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ANN
Other - Last Name:BAUMGARTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:33080 UTICA RD STE B
Mailing Address - Street 2:
Mailing Address - City:FRASER
Mailing Address - State:MI
Mailing Address - Zip Code:48026-2038
Mailing Address - Country:US
Mailing Address - Phone:586-296-7250
Mailing Address - Fax:586-296-7256
Practice Address - Street 1:33080 UTICA RD STE B
Practice Address - Street 2:
Practice Address - City:FRASER
Practice Address - State:MI
Practice Address - Zip Code:48026-2038
Practice Address - Country:US
Practice Address - Phone:586-296-7250
Practice Address - Fax:586-296-7256
Is Sole Proprietor?:No
Enumeration Date:2017-07-03
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA2573152W00000X
MI4901005057152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist