Provider Demographics
NPI:1588628564
Name:SHERWOOD, CRAIG FRANCIS (DPM)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:FRANCIS
Last Name:SHERWOOD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2990 NILES RD
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-8607
Mailing Address - Country:US
Mailing Address - Phone:269-429-7670
Mailing Address - Fax:269-429-9981
Practice Address - Street 1:2990 NILES RD
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-8607
Practice Address - Country:US
Practice Address - Phone:269-429-7670
Practice Address - Fax:269-429-9981
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901001102213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5115000Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
MIT33927Medicare UPIN