Gretz, Dawn Marie

Gretz, Dawn Marie is an individual health care provider with primary practice located at 1405 Madison Park Dr , Glen Burnie MD 21061-5613. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Gretz, Dawn Marie can be contacted via phone (410) 761-1666.

Contact Information

Primary practice address
1405 Madison Park Dr Glen Burnie MD 21061-5613
Phone: (410) 761-1666
Fax: (410) 768-5809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 01219 Maryland

Profile Details

NPI number 1962585208
LBN Legal business name Gretz, Dawn Marie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jan 21st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962585208 NPPES
Maryland MEDICAID 368778300

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