Provider Demographics
NPI:1396723284
Name:FLUGRAD, SHERRI A (DO)
Entity type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:A
Last Name:FLUGRAD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SHERI
Other - Middle Name:A
Other - Last Name:CLEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 3014
Mailing Address - Street 2:1215 DUFF AVENUE
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-239-2155
Mailing Address - Fax:515-239-2050
Practice Address - Street 1:1111 DUFF AVENUE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010
Practice Address - Country:US
Practice Address - Phone:515-239-2155
Practice Address - Fax:515-239-2050
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA3659207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0474007Medicaid
IAI16170Medicare UPIN
IA0474007Medicaid