Organization
STEVEN R SELLA DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN RICHARD SELLA DPM (MANAGER)
(989) 732-0570
Entity
Organization
Contact information
Practice address
854 N CENTER AVE, STE 2, GAYLORD, MI 49735-1686
(989) 732-0570
(989) 732-0512
Mailing address
854 N CENTER AVE, STE 2, GAYLORD, MI 49735-1686
(989) 732-0570
(989) 732-0512
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SS001770
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408855
—
MI
01
—
4856910190
BC BS
MI
01
—
M035440
CHAMPUS
MI
01
—
P88770
BLUE CARE NETWORK
MI
Enumeration date
01/08/2007
Last updated
11/10/2014
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