| |
23064 E Main St, Armada, MI 48005-4705 | |
(586) 784-0184 | |
(586) 784-5227 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 23064 E Main St, Armada, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003074089 | NPI | - | NPPES |
540E001930 | Other | MI | BCBSDME |
480E027910 | Other | MI | BCBS GROUP PIN |
Provider Name | Gretta Shara |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1679535942 PECOS PAC ID: 8921017427 Enrollment ID: I20060411000591 |
Mailing Address | Practice Location Address |
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Po Box 907, Armada, MI 48005-0907 Ph: (586) 784-0184 | 23064 E Main St, Armada, MI 48005-4705 Ph: (586) 784-0184 |
Dr. Gretta Shara, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 23064 E Main St, Armada, MI 48005 Phone: 586-784-0184 Fax: 586-784-5227 |