Provider Demographics
NPI:1467761510
Name:SHERYL HASEGAWA ARTHUR DO PLLC
Entity Type:Organization
Organization Name:SHERYL HASEGAWA ARTHUR DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:HASEGAWA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:989-892-6587
Mailing Address - Street 1:200 S WENONA ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-8820
Mailing Address - Country:US
Mailing Address - Phone:989-892-6587
Mailing Address - Fax:989-892-3140
Practice Address - Street 1:200 S WENONA ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-8820
Practice Address - Country:US
Practice Address - Phone:989-892-6587
Practice Address - Fax:989-892-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-06
Last Update Date:2011-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty