Doctor Name: | WALLACE W SHERRITT |
NPI Number: | 1457349250 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 02000488A |
Business Practice Address: | 1551 Sturdy Rd Valparaiso, IN - 463837883 |
Business Phone Number: | 2194625750 |
Business Fax Number: | |
Mailing Address: | 1551 Sturdy Rd, VALPARAISO |
State: | IN |
Postal Code: | 463837883 |
Phone Number: | 2195310200 |
Fax Number: | 2195310045 |
NPI Enumeration Date: | 10/06/2005 |
NPI Last Update Date: | 05/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 02000488A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |