Provider Demographics
NPI:1073715900
Name:SHERRI L GRAF DOPC
Entity type:Organization
Organization Name:SHERRI L GRAF DOPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRAF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-223-9202
Mailing Address - Street 1:29877 TELEGRAPH RD
Mailing Address - Street 2:304
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1332
Mailing Address - Country:US
Mailing Address - Phone:248-223-9202
Mailing Address - Fax:248-223-9302
Practice Address - Street 1:29877 TELEGRAPH RD
Practice Address - Street 2:304
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1332
Practice Address - Country:US
Practice Address - Phone:248-223-9202
Practice Address - Fax:248-223-9302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P19010Medicare ID - Type UnspecifiedMEDICARE GROUP