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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