Individual ProviderMichael Leo WaldschmidtCase Manager/Care CoordinatorOther Service ProvidersPractice Address5901 Zuni Rd SE, Albuquerque, NM 87108-3073(505) 925-4363PECOS EnrollmentBased on the most recent information from CMS, provider Michael Leo Waldschmidt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1114250222Provider TypeIndividualFull NameWaldschmidt, Michael LeoTitleMr.GenderMaleSole ProprietorYesEnumeration Date9/9/2009Last Updated9/9/2009Contact InformationPractice LocationPractice Address5901 Zuni Rd SE, Albuquerque, NM 87108-3073Phone(505) 925-4363Fax(505) 925-4354Mailing LocationMailing Address5901 Zuni Rd SE, Albuquerque, NM 87108-3073Phone(505) 925-4363Fax(505) 925-4354Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer