# DANIEL J SHERWOOD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205827565
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 57869 | TN | Yes |
| 207Q00000X | Family Medicine Physician | E4946 | AR | — |

## Other

- **Enumeration date:** 11/03/2005
- **Last updated:** 04/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 163658001 | — | AR |
| 05 | — | 201789906 | — | MO |
| 01 | — | 5N726 | AR BLUE SHIELD \# | AR |
| 01 | — | 5N726 | AR BLUE SHIELD \# | MO |
| 01 | — | P00374551 | RR MDCR \# | MO |
| 01 | — | P00374552 | RR MEDICARE | AR |
| 05 | — | Q037511 | — | TN |