Provider Demographics
NPI:1063403335
Name:SHERMAN, MICHAEL (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6255 INKSTER RD
Mailing Address - Street 2:STE 303
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135
Mailing Address - Country:US
Mailing Address - Phone:734-421-0790
Mailing Address - Fax:734-421-3780
Practice Address - Street 1:6255 INKSTER RD
Practice Address - Street 2:STE 303
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135
Practice Address - Country:US
Practice Address - Phone:734-421-0790
Practice Address - Fax:734-421-3780
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-04
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101010605207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3355555Medicaid
MI3355555Medicaid
M36150001Medicare PIN