Individual
SHERI ANNE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5220 HIGHLAND RD, SUITE 210, WATERFORD, MI 48327-1975
(248) 383-1030
(248) 383-1031
Mailing address
5220 HIGHLAND RD, SUITE 210, WATERFORD, MI 48327-1913
(248) 383-1030
(248) 383-1031
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601003535
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1456318220
BCBSM
MI
Enumeration date
10/10/2006
Last updated
07/08/2008
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