Doctor Name: | DR. SHERMAN GORBIS |
NPI Number: | 1033148804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 5101007497 |
Business Practice Address: | B439 W Fee East Lansing, MI - 488241315 |
Business Phone Number: | 5173534467 |
Business Fax Number: | 5173530789 |
Mailing Address: | A439 E Fee Hall, EAST LANSING |
State: | MI |
Postal Code: | 488241316 |
Phone Number: | 5173534467 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2006 |
NPI Last Update Date: | 12/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 5101007497 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |