Organization
SHERIDAN COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DIMITRIOU (COMPLIANCE OFFICER)
(989) 291-6304
Entity
Organization
Contact information
Practice address
1525 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-4598
(989) 291-6304
Mailing address
301 N MAIN ST, SHERIDAN, MI 48884-9235
(989) 291-6304
(989) 291-6304
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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