Organization
WALLACE W SHERRITT DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALLACE W SHERRITT DO (OWNER)
(219) 462-5750
Entity
Organization
Contact information
Practice address
1551 STURDY RD, VALPARAISO, IN 46383
(219) 462-5750
Mailing address
9136 COLUMBIA AVE, MUNSTER, IN 46321
(219) 462-5750
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
50002122A
IN
Other
Enumeration date
10/06/2005
Last updated
08/22/2020
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