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Individual

SHIRLEY T SHERROD

Active
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Individual

SHIRLEY T SHERROD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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
Update your record

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