Doctor Name: | DR. RANDY SEMMA |
NPI Number: | 1386933125 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | PO3617 |
Business Practice Address: | 1001 Welch Rd Suite 110 Commerce Twp, MI - 483902864 |
Business Phone Number: | 2480560177 |
Business Fax Number: | 2486942102 |
Mailing Address: | 1001 Welch Rd, Suite 110 COMMERCE TWP |
State: | MI |
Postal Code: | 483902864 |
Phone Number: | 2489560177 |
Fax Number: | 2486942102 |
NPI Enumeration Date: | 04/01/2011 |
NPI Last Update Date: | 08/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO3617 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |