Organization
DAWN M GRETZ D P M P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN MARIE GRETZ DPM (PHYSICIAN)
(410) 761-1666
Entity
Organization
Contact information
Practice address
1405 MADISON PARK DR, GLEN BURNIE, MD 21061-5627
(410) 761-1666
(410) 768-5809
Mailing address
1405 MADISON PARK DR, GLEN BURNIE, MD 21061-5627
(410) 761-1666
(410) 768-5809
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403210100
—
MD
Enumeration date
10/02/2008
Last updated
01/21/2011
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