Derek Williamson Sherk MD

NPI 1003806159 - Family Medicine - 207Q00000X

NPI Details
NPI 1003806159
Gender Male
Enumeration Date 10/28/2005
Last Updated 06/21/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
3077 KETTERING BLVD
SUITE NUMBER 319
DAYTON OH, 45439-1949, US
Phone (937) 293-2133
Fax
Business Location
1508 HATHAWAY RD
DAYTON OH, 45419-3244, US
Phone (937) 554-8305
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Ohio
License Number 35076965S
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According to our database, Dr. Derek Williamson Sherk MD NPI is 1003806159, taxonomy code is 207Q00000X and license number is 35076965S, license state is located at Ohio. Derek Williamson Sherk MD physically located at 3077 Kettering Blvd, Dayton OH, 45439-1949. NPI Number Derek Williamson Sherk MD has the Individual type.

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1003806159 NPI number is provided on an as is basis without warranty of any kind. 1003806159 is maintained by the National Plan & Provider Enumeration System. The contents of Derek Williamson Sherk MD are for informational purposes only.