Individual
FREDERICK SHERBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 JOHN ST STE M-124, KALAMAZOO, MI 49007-5377
(269) 341-7540
Mailing address
7910 MARGARET ST, TAYLOR, MI 48180-2410
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5101025729
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2017
Last updated
06/28/2022
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