Provider Demographics
NPI:1649607375
Name:DEMARA, MEGAN MELISSA (DPM)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:MELISSA
Last Name:DEMARA
Suffix:
Gender:F
Credentials:DPM
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Other - First Name:
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Mailing Address - Street 1:1281 E SHERMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49444-1846
Mailing Address - Country:US
Mailing Address - Phone:231-733-1511
Mailing Address - Fax:231-766-6533
Practice Address - Street 1:1281 E SHERMAN BLVD
Practice Address - Street 2:
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49444-1846
Practice Address - Country:US
Practice Address - Phone:231-733-1511
Practice Address - Fax:231-766-6533
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5901002513213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery