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Organization
GRETTA SHARA, DPM, PC
Active
Organization
GRETTA SHARA, DPM, PC
Active
Other names
Armada Foot and Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRETTA SHARA DPM (PRESIDENT)
(586) 784-0184
Entity
Organization
Contact information
Practice address
23064 E MAIN ST, ARMADA, MI 48005-4705
(586) 784-0184
(586) 784-5227
Mailing address
PO BOX 907, ARMADA, MI 48005-0907
(586) 784-0184
(586) 784-5227
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001789
MI
261QP1100X
Podiatric Clinic/Center
—
MI
332B00000X
Durable Medical Equipment & Medical Supplies
5901001789
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480E027910
BCBS GROUP PIN
MI
01
—
540E001930
BCBSDME
MI
Enumeration date
05/27/2008
Last updated
03/31/2009
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