Provider Demographics
NPI:1669479390
Name:CHEEK, SHARON GILLILAND (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:GILLILAND
Last Name:CHEEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:LAVERN
Other - Last Name:GILLILAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:18341 US HIGHWAY 41
Mailing Address - Street 2:
Mailing Address - City:LANSE
Mailing Address - State:MI
Mailing Address - Zip Code:49946-8024
Mailing Address - Country:US
Mailing Address - Phone:906-524-6118
Mailing Address - Fax:906-524-6218
Practice Address - Street 1:18341 US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:LANSE
Practice Address - State:MI
Practice Address - Zip Code:49946-8024
Practice Address - Country:US
Practice Address - Phone:906-524-6118
Practice Address - Fax:906-524-6218
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301099797208000000X
IN01036061208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301099797OtherMICHIGAN PHYSICIAN LICENSE
IN100118810Medicaid
MI1669479390Medicaid