Michael Jay Scott Sheridan M.D.

NPI 1174519466 - Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X

NPI Details
NPI 1174519466
Gender Male
Enumeration Date 09/22/2005
Last Updated 01/12/2016
Entity Type Individual
Active Over 12 years ago
Practice Location
1116 N 16TH ST STE A
LAFAYETTE IN, 47904-2119, US
Phone (765) 448-8000
Fax (765) 448-8807
Business Location
PO BOX 5545
LAFAYETTE IN, 47903-5545, US
Phone (765) 448-8000
Taxonomy Code 208G00000X
License State Florida
License Number ME 87486
Remove 1174519466 NPI Number

According to our database, Dr. Michael Jay Scott Sheridan M.D. NPI is 1174519466, taxonomy code is 208G00000X and license number is ME 87486, license state is located at Florida. Michael Jay Scott Sheridan M.D. physically located at 1116 N 16th St Ste A, Lafayette IN, 47904-2119. NPI Number Michael Jay Scott Sheridan M.D. has the Individual type.

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1174519466 NPI number is provided on an as is basis without warranty of any kind. 1174519466 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Jay Scott Sheridan M.D. are for informational purposes only.