Individual
DR. SUSAN J. SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
43077 BROOKSTONE DR, NOVI, MI 48377-2714
(248) 622-0356
Mailing address
PO BOX 250485, WEST BLOOMFIELD, MI 48325-0485
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
01064843A
IN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
4301050402
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181980006
MEDICARE PTAN
IN
05
—
201173530
—
IN
01
—
266180270
MEDICARE PTAN
IN
05
—
4624380
—
MI
Enumeration date
05/10/2006
Last updated
04/24/2018
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