Provider Demographics
NPI:1831189158
Name:SHERRER, WILLIAM TODD (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:TODD
Last Name:SHERRER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1722 PINE ST STE 203
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1158
Mailing Address - Country:US
Mailing Address - Phone:334-293-8736
Mailing Address - Fax:334-293-8738
Practice Address - Street 1:226 MITYLENE PARK DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3548
Practice Address - Country:US
Practice Address - Phone:334-281-7666
Practice Address - Fax:334-281-2822
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2020-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL16425208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051550614Medicaid
AL051550614Medicare ID - Type Unspecified
AL051550614Medicaid