Provider / Organization | NPI | Date Certified |
---|---|---|
KYLE MATTHEW SHERWIN | 1881223485 | 2020-04-06 |
Kyle Matthew Sherwin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881223485. Registration indicates Kyle Matthew Sherwin is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Anesthesiology (Anesthesiology, ) (All Other Specialties & Provider Types, ) (Anesthesiology, Allopathic & Osteopathic Physicians) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Kyle Matthew Sherwin DO |
Practice Office Address | 100 MICHIGAN ST NE GRAND RAPIDS, MI US |
Practice Office Telephone | 6163911730 |
Mailing Address | 4100 EMBASSY DR SE STE 400 GRAND RAPIDS, MI 495462416 US |
Business Telephone | 6169751845 |
Code | Practice | License No State |
---|---|---|
207L00000X | Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology All Other Specialties & Provider Types Anesthesiology Allopathic & Osteopathic Physicians | 5101026770
MI |
207P00000X PRIMARY | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 5151014345
MI |