Provider Demographics
NPI:1174500847
Name:SHERMAN, MICHAEL (DPM, MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DPM, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 RIVER OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1367
Mailing Address - Country:US
Mailing Address - Phone:410-484-1535
Mailing Address - Fax:410-484-2309
Practice Address - Street 1:8 RESERVOIR CIR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-6324
Practice Address - Country:US
Practice Address - Phone:410-602-6818
Practice Address - Fax:410-602-6814
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD183213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD60002800Medicaid
MD337BMedicare ID - Type UnspecifiedGROUP MC232L
MD60002800Medicaid