Jerad Roland Booth is a podiatrist in Detroit, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Jerad Roland Booth NPI is 1316562515. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
22201 MOROSS RD STE 250
DETROIT, MI
ZIP 48236-175
Phone: (313) 343-3423
Fax: (313) 343-3401
The NPI 1316562515 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 6/12/2020 and was last updated on 6/12/2020.