Dr. Alan R Warren
Podiatrist
24836 Harper Ave
St Clair Shores
, Michigan 48080-1241
Dr. Alan R Warren
Podiatrist
24836 Harper Ave
St Clair Shores
, Michigan 48080-1241
(586) 778-5263
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Alan R Warren
- 24836 Harper Ave
- St Clair Shores, MI
- Zip : 48080-1241
- Fax : (586) 778-5263
- Phone : (586) 778-0400
Second Address
- Dr. Alan R Warren
- 24836 Harper Ave
- St Clair Shores, MI
- Zip : 48080-1241
- Fax : (586) 778-5263
- Phone : (586) 778-0400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | AW400236 | MI |
| Y | 222Z00000X | Podiatrist | AW400236 | MI |
National Provider Identifier
| NPI | 1033100813 |
|---|---|
| Provider Name | Dr. Alan R Warren |
| First Address | St Clair Shores, MI 48080-1241 |
| Second Address | St Clair Shores, MI 48080-1241 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2005 |
| Last Update Date | 28/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2651870 | (05) | MI |
| 4855053930 | BLUE CROSS BLUE SHIELD (01) | MI |
| T34203 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.