Individual
LARRY H SHERKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5760 W LAKE DR, WEST BEND, WI 53095-8447
(262) 297-1267
Mailing address
5760 W LAKE DR, WEST BEND, WI 53095-8447
(262) 297-1267
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20178
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31371100
—
WI
Enumeration date
07/29/2005
Last updated
09/10/2008
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