Provider Demographics
NPI:1336145937
Name:LOUIE, SHERYL ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:ANN
Last Name:LOUIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:801 NICOLLET MALL STE 400
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2520
Mailing Address - Country:US
Mailing Address - Phone:612-333-2503
Mailing Address - Fax:612-333-7080
Practice Address - Street 1:3400 W 66TH ST STE 385
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2197
Practice Address - Country:US
Practice Address - Phone:952-927-6561
Practice Address - Fax:952-927-6569
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2018-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN42216207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN110113700Medicaid
MN110113700Medicaid
MN160003500Medicare PIN