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Individual

DR. SHERMAN ANTHONY WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3900 ST FRANCIS WAY STE 200, LAFAYETTE, IN 47905
(765) 775-2800
(765) 775-2831
Mailing address
1040 SIERRA DR STE 400, GREENWOOD, IN 46143-7241
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01033457A
IN
207RG0100X
Gastroenterology Physician
Primary
27105
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001072315
ANTHEM
01
01033457A
LICENSE
IN
05
0274456
IA
01
13734880
CAQH
01
27105
STATE LICENSE
IA
01
27445
WELLMARK OF IOWA
IA
05
300000160
IN
01
C27445
WORK COMPENSATION
IA
Enumeration date
02/14/2006
Last updated
03/07/2023
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