Individual
DR. GRETTA SHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
23064 E MAIN ST, ARMADA, MI 48005-4705
(586) 784-0184
(586) 784-5227
Mailing address
PO BOX 907, ARMADA, MI 48005-0907
(586) 784-0184
(586) 784-5227
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901001789
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001789
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383335188
COMERCIAL
MI
01
—
4855001230
BLUE CROSS BLUE SHIELD
MI
01
—
P00301345
MEDICARE RAILROAD PIN
MI
Enumeration date
04/04/2006
Last updated
10/06/2008
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