Individual
MICHAEL ANDREW SHERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8040 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-5630
(313) 316-6006
Mailing address
PO BOX 6005, INDIANAPOLIS, IN 46206-6005
(313) 316-6006
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01073383A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102183658
ANTHEM PTAN
IN
05
—
201109000
—
IN
Enumeration date
06/10/2010
Last updated
12/02/2024
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