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Individual

DANIEL SHERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1390 HOPE DR, CARBONDALE, IL 62901-5306
(618) 351-4972
(618) 351-6522
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007473
IL

Other

Enumeration date
01/06/2020
Last updated
01/07/2025
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