Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 5901002668 | MI |
Y | 222Z00000X | Podiatrist | 5901002668 | MI |
N | 213ES0103X | Foot & Ankle Surgery | PL 60499747 | WA |
NPI | 1033510102 |
---|---|
Provider Name | Dr. Garneisha Matriece Torrence |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48105-9484 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2014 |
Last Update Date | 29/08/2019 |