Organization
MICHAEL SHERBIN DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHERBIN DO (PHYSICIAN/OWNER)
(586) 463-5831
Entity
Organization
Contact information
Practice address
309 NORTHBOUND GRATIOT AVE, MT CLEMENS, MI 48043-5748
(586) 463-5831
(586) 463-4742
Mailing address
309 NORTHBOUND GRATIOT AVE, MT CLEMENS, MI 48043-5748
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
MS005786
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0455026324
BCBS OF MICHIGAN
MI
01
—
0485003484
BCBS OF MICHIGAN
MI
05
—
111208372
—
MI
05
—
111258178
—
MI
Enumeration date
02/08/2008
Last updated
12/17/2015
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