Provider Demographics
NPI:1366552309
Name:HIRSCH, SHERYL LYNNE (MD)
Entity type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:LYNNE
Last Name:HIRSCH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:41935 W 12 MILE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-3111
Mailing Address - Country:US
Mailing Address - Phone:248-347-8040
Mailing Address - Fax:248-305-6179
Practice Address - Street 1:41935 W 12 MILE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-3111
Practice Address - Country:US
Practice Address - Phone:248-347-8040
Practice Address - Fax:248-305-6179
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MI4301041755208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics