Provider Demographics
NPI:1336129907
Name:PEJKA, SHERRY L (MD)
Entity Type:Individual
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First Name:SHERRY
Middle Name:L
Last Name:PEJKA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:601 JOHN ST
Mailing Address - Street 2:SUITE M-352
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-5341
Mailing Address - Country:US
Mailing Address - Phone:269-341-8986
Mailing Address - Fax:269-341-6235
Practice Address - Street 1:601 JOHN ST
Practice Address - Street 2:SUITE #352
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-5341
Practice Address - Country:US
Practice Address - Phone:269-341-8986
Practice Address - Fax:269-341-6235
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
MI43010696232080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4610741Medicaid
H25770Medicare UPIN
MIC97618081Medicare PIN