Individual
MOMODU SHERIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2646 HIGHWAY AVE, SUITE 102, HIGHLAND, IN 46322-1661
(219) 595-0604
(219) 513-8678
Mailing address
42633 GARFIELD RD, SUITE 315, CLINTON TWP, MI 48038-5033
(888) 819-4677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11009906A
IN
Other
Enumeration date
10/24/2014
Last updated
01/08/2016
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