Individual
RISA GALE SHERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4660 WILKENS AVE, SUITE 202, BALTIMORE, MD 21229-4848
(410) 242-7066
(410) 242-4126
Mailing address
4660 WILKENS AVE, SUITE 202, BALTIMORE, MD 21229-4848
(410) 242-7066
(410) 242-4126
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01283
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30650004
BLUE SHIELD DC
DC
01
—
K924GI82075402
BLUE SHIELD
MH
01
—
S128GI82075401
BLUE SHIELD
MD
Enumeration date
09/14/2006
Last updated
11/30/2007
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