Individual
SHIRLEY T SHERROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6001 W OUTER DR, STE 321, DETROIT, MI 48235
(313) 341-5100
(313) 861-9200
Mailing address
6001 W OUTER DR, STE 321, DETROIT, MI 48235
(313) 341-5100
(313) 861-9200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301033837
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0820538
BCBS
MI
01
—
1213150005
WELLNESS PLAN PIN
MI
01
—
122752
GREAT LAKES HEALTH PIN
MI
01
—
1808205381
BCBS PIN
MI
01
—
48818
OMNICARE COVENTRY PIN
MI
01
—
5536239
AETNA PIN
MI
01
—
82025201
PROCARE HEALTH PLAN PIN
MI
01
—
B43583
HEALTH ALLIANCE PLAN PIN
MI
Enumeration date
07/11/2006
Last updated
09/12/2008
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