Provider Demographics
NPI:1770507147
Name:SHERMAN, ERROL (DPM)
Entity Type:Individual
Prefix:
First Name:ERROL
Middle Name:
Last Name:SHERMAN
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 1:26106 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1040
Mailing Address - Country:US
Mailing Address - Phone:248-968-1400
Mailing Address - Fax:248-968-1238
Practice Address - Street 1:26106 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-1040
Practice Address - Country:US
Practice Address - Phone:248-968-1400
Practice Address - Fax:248-968-1238
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901000864213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5631872OtherBLUE SHIELD
MI1560851Medicaid
MIT34154Medicare UPIN
MI1560851Medicaid