Organization
ADRIAN SHEREMETA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN SHEREMETA M.D. (PROVIDER/OWNER)
(734) 779-1000
Entity
Organization
Contact information
Practice address
37675 PEMBROKE AVE, LIVONIA, MI 48152-1050
(734) 779-1000
(734) 779-1001
Mailing address
37675 PEMBROKE AVE, LIVONIA, MI 48152-1050
(734) 779-1000
(734) 779-1001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PM069773
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
AS041942
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110H223990
BCBSM GRP PIN
MI
05
—
4245567
—
MI
05
—
4620532
—
MI
Enumeration date
11/21/2006
Last updated
07/03/2019
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