Organization
SHERRY L VIOLA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY L VIOLA MD (OWNER)
(248) 649-0450
Entity
Organization
Contact information
Practice address
1777 AXTELL DR, SUITE 107, TROY, MI 48084-4404
(248) 649-0450
Mailing address
1777 AXTELL DR, SUITE 107, TROY, MI 48084-4404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250F374620
BLUE CROSS BLUE SHIELD
MI
05
—
3244233
—
MI
05
—
3480240
—
MI
05
—
4166178
—
MI
01
—
A78879
UPIN NUMBER
MI
01
—
E92648
UPIN NUMBER
MI
01
—
G76713
UPIN NUMBER
MI
01
—
ND011544
LICENSE#
MI
01
—
RL056088
LICENSE NUMBER
MI
01
—
SV403956
LICENSE NUMBER
MI
Enumeration date
05/16/2008
Last updated
05/16/2008
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