# DR. SUSAN J. SHERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1619926185
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | 01064843A | IN | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 4301050402 | MI | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 04/24/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 181980006 | MEDICARE PTAN | IN |
| 05 | — | 201173530 | — | IN |
| 01 | — | 266180270 | MEDICARE PTAN | IN |
| 05 | — | 4624380 | — | MI |