Provider Demographics
NPI:1033191242
Name:SHERMAN, RONALD J (DO)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:J
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3409 LUDINGTON STREET
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ESCANABA
Mailing Address - State:MI
Mailing Address - Zip Code:49829
Mailing Address - Country:US
Mailing Address - Phone:906-789-4427
Mailing Address - Fax:906-789-4446
Practice Address - Street 1:3409 LUDINGTON STREET
Practice Address - Street 2:SUITE 203
Practice Address - City:ESCANABA
Practice Address - State:MI
Practice Address - Zip Code:49829
Practice Address - Country:US
Practice Address - Phone:906-789-4427
Practice Address - Fax:906-789-4446
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-15
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101007453207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1435503Medicaid
MI1435503Medicaid
MIOF36374002Medicare ID - Type Unspecified