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Individual

VIVICA J FITZPATRICK-SHERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2864 ASHMUN STREET, SAULT TRIBAL HEALTH CENTER, SAULT SAINTE MARIE, MI 49783
(906) 632-5200
(906) 632-5276
Mailing address
2864 ASHMUN STREET, SAULT STE MARIE, MI 49783
(906) 632-5200
(906) 632-5276

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301053961
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080A760010
BCBS
MI
05
1969581
MI
05
4410400
MI
Enumeration date
05/23/2006
Last updated
04/24/2008
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