Provider Demographics
NPI:1063417137
Name:GRAF, SHERRI LYNN (DO)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:LYNN
Last Name:GRAF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 7190
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302
Mailing Address - Country:US
Mailing Address - Phone:248-223-9202
Mailing Address - Fax:248-223-9302
Practice Address - Street 1:29877 TELEGRAPH ROAD
Practice Address - Street 2:SUITE 304
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034
Practice Address - Country:US
Practice Address - Phone:248-223-9202
Practice Address - Fax:248-223-9302
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101013164207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI450530711Medicaid
MI450530711Medicaid