Organization
JEFFREY SHEEDY DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M SHEEDY D.O. (OWNER PHYSCIAN)
(574) 935-9395
Entity
Organization
Contact information
Practice address
2855 MILLER DR, SUITE 109, PLYMOUTH, IN 46563
(574) 941-1040
(574) 935-0080
Mailing address
P O BOX 437, PLYMOUTH, IN 46563
(574) 941-1040
(574) 935-0080
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200384260
—
IN
Enumeration date
06/27/2007
Last updated
06/11/2008
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