Provider Demographics
NPI:1053366609
Name:SIEBER, SHERRY LYNN (DC)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:LYNN
Last Name:SIEBER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49952 PROCTOR RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-1010
Mailing Address - Country:US
Mailing Address - Phone:734-495-1339
Mailing Address - Fax:734-495-1339
Practice Address - Street 1:50545 CHERRY HILL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-1065
Practice Address - Country:US
Practice Address - Phone:734-495-3999
Practice Address - Fax:734-495-3930
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009126111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor