Individual
DR. STEVEN RICHARD SELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
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
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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