Doctor Name: | LARRY H SHERKOW |
NPI Number: | 1003816042 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 20178 |
Business Practice Address: | 5760 W Lake Dr West Bend, WI - 530958447 |
Business Phone Number: | 2622971267 |
Business Fax Number: | |
Mailing Address: | 5760 W Lake Dr, WEST BEND |
State: | WI |
Postal Code: | 530958447 |
Phone Number: | 2622971267 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2005 |
NPI Last Update Date: | 09/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 20178 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |