Individual
GUY R SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3704
(765) 747-3518
Mailing address
250 N SHADELAND AVE, ATTN: CAROL BOYD, INDIANAPOLIS, IN 46219-4959
(317) 963-0413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01047352A
IN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
01047352
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080114876
RAILROAD MEDICARE
IN
05
—
200158190
—
IN
Enumeration date
06/25/2008
Last updated
06/12/2013
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