Organization
ALAN R. WARREN, D.P.M.
Active
Other names
Kelly Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN R WARREN DPM (DOCTOR/OWNER)
(586) 778-0400
Entity
Organization
Contact information
Practice address
24836 HARPER AVE, SAINT CLAIR SHORES, MI 48080-1241
(586) 778-0400
(586) 778-5263
Mailing address
24836 HARPER AVE, SAINT CLAIR SHORES, MI 48080-1241
(586) 778-0400
(586) 778-5263
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
AW400236
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2651870
—
MI
01
—
4855053930
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/23/2008
Last updated
08/13/2025
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