Individual
SHERRILL D BUSBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2093 HEALTH DR SW STE 100, WYOMING, MI 49519
(616) 252-7264
(616) 252-6977
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601001603
MI
363AM0700X
Medical Physician Assistant
Primary
5601001603
MI
Other
Enumeration date
05/02/2006
Last updated
07/23/2018
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