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Organization

DANIEL D SHERBERT MD

Active
Other names
West Maple Plastic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
BETH A SHERBERT (OFFICE MANAGER)
(248) 865-6400
Entity
Organization

Contact information

Practice address
5807 W MAPLE RD, SUITE 177, WEST BLOOMFIELD, MI 48322-4483
(248) 865-6400
(248) 865-6404
Mailing address
5807 W MAPLE RD, SUITE 177, WEST BLOOMFIELD, MI 48322-4483
(248) 865-6400
(248) 865-6404

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301051281
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
240F376480
BCBSM
MI
05
346090810
MI
Enumeration date
03/15/2007
Last updated
07/23/2009
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