Provider Demographics
NPI:1962854166
Name:SHERMAN, MICHAEL LOUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LOUIS
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11304 JOHN CARROLL RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1658
Mailing Address - Country:US
Mailing Address - Phone:410-654-6121
Mailing Address - Fax:410-654-6175
Practice Address - Street 1:11304 JOHN CARROLL RD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-1658
Practice Address - Country:US
Practice Address - Phone:410-654-6121
Practice Address - Fax:410-654-6175
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00102012085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology