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Individual
DR. STEVEN RICHARD SELLA
Active
Individual
DR. STEVEN RICHARD SELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
55001770
MI
213E00000X
Podiatrist
Primary
5901001770
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408855
—
MI
01
—
480025475
RR MEDICARE
—
01
—
4856910190
BCBS
MI
01
—
M036440
CHAMPUS
—
Enumeration date
08/01/2007
Last updated
11/10/2014
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