Provider Information for 1992081228
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MICHAEL WESLEY SHERMAN
Sex: Male
NPI: 1992081228
Last Updated: 2024-01-29
Certification Date: 2024-01-29
Certification Date: 2024-01-29
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1992081228 | ||||||||
| Enumeration Date | 2011-11-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 48 N 1100 E STE B AMERICAN FORK, UT 84003-2910 United States Phone: 801-369-8989 | Fax:801-704-9741 | ||||||||
| Primary Practice Address | 48 N 1100 E STE B AMERICAN FORK, UT 84003-2910 United States Phone: 801-369-8989 | Fax:801-704-9741 | ||||||||
| Secondary Practice Address(es) | 14 FORDHAM RD | ||||||||
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