MEDICARE: CHRISTOPHER SHEENA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	5901002616	MI
2	213ES0131X	Foot Surgery Podiatrist	5901002616	MI

General Provider Information

NPI Number	:	1841532421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER SHEENA

Provider Business Mailing Address
First Line	:	6870 POST OAK DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3838
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4123 MARTIN RD STE 101
Second Line	:
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48390-4151
Country	:	US
Telephone Number	:	248-363-3777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2013
Last Update Date	:	07/11/2016

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Directions to “ CHRISTOPHER SHEENA ” Practice Location

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