Provider Demographics
NPI:1003064825
Name:PHILLIPS, CHERIE RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERIE
Middle Name:RENEE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8055 MAYFIELD RD
Mailing Address - Street 2:STE 105
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-2447
Mailing Address - Country:US
Mailing Address - Phone:440-214-8027
Mailing Address - Fax:216-201-8173
Practice Address - Street 1:6707 POWERS BLVD STE 202
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5464
Practice Address - Country:US
Practice Address - Phone:440-743-2380
Practice Address - Fax:440-743-2381
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2020-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43011041092086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery