Organization
CHARLES G SHERMETARO, OD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES GERARD SHERMETARO O.D. (OWNER/OPTOMETRIST)
(586) 247-2121
Entity
Organization
Contact information
Practice address
48873 HAYES RD, SHELBY TOWNSHIP, MI 48315-4405
(586) 247-2121
(586) 532-7480
Mailing address
48873 HAYES RD, SHELBY TOWNSHIP, MI 48315-4405
(586) 247-2121
(586) 532-7480
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4901003001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
944672833
—
MI
Enumeration date
01/25/2008
Last updated
02/17/2010
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