Individual
DR. SHERUNDA SIMONE JOSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM, MPH
Contact information
Practice address
18161 W 13 MILE RD, SUITE D-2, SOUTHFIELD, MI 48076-1113
(513) 205-6363
(248) 258-6779
Mailing address
18161 W 13 MILE RD, SUITE D-2, SOUTHFIELD, MI 48076-1113
(513) 205-6363
(248) 258-6779
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002465
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001167
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006084
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I484662
MEDICARE PTAN
GA
Enumeration date
07/28/2008
Last updated
07/17/2012
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