NPI 1003074089

Gretta Shara, DPM, PC

Organisation Podiatrist Armada, MI

Practice location

Address: 23064 E Main St, Armada, MI 48005-4705
Phone: (586) 784-0184
Fax: (586) 784-5227
Mailing address: PO Box 907, Armada, MI 48005-0907

Authorised official

Name: Gretta Shara
Title: President
Phone: (586) 784-0184

Registered specialties (3)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 5901001789 (MI)

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Podiatric Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP1100X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X Licence 5901001789 (MI)

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Registry record

NPI: 1003074089
Entity type: Organization
NPI issued: 27 May 2008
Record last updated: 31 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.