Provider Demographics
NPI:1144245218
Name:SHERMAN-GACH, TERESA K (MD)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:K
Last Name:SHERMAN-GACH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5401 GATEWAY CTR
Mailing Address - Street 2:STE C
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-3980
Mailing Address - Country:US
Mailing Address - Phone:810-244-0180
Mailing Address - Fax:810-244-0191
Practice Address - Street 1:5401 GATEWAY CTR
Practice Address - Street 2:STE C
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507
Practice Address - Country:US
Practice Address - Phone:810-244-0180
Practice Address - Fax:810-244-0191
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301070656207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0802510961OtherBCBSM INDIVIDUAL PIN
MI4604771Medicaid
MI108837Medicare UPIN
MIM23560148Medicare PIN