Provider Demographics
NPI:1679592968
Name:SHERICK, DANIEL G (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:G
Last Name:SHERICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5333 MCAULEY DR
Mailing Address - Street 2:SUITE R5001
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1014
Mailing Address - Country:US
Mailing Address - Phone:734-712-2323
Mailing Address - Fax:734-712-2312
Practice Address - Street 1:5333 MCAULEY DR
Practice Address - Street 2:SUITE R5001
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1014
Practice Address - Country:US
Practice Address - Phone:734-712-2323
Practice Address - Fax:734-712-2312
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301058063208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI123890OtherCARE CHOICES HMO
MI6975OtherCAPE
MIG96939OtherHEALTH ALLIANCE PLAN
MIP109366OtherBLUE CARE NETWORK
MI4120384 10Medicaid
MI6975OtherCAPE
MIG96939Medicare UPIN