MEDICARE: DR. JULIE NICOLE SHER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	JS013579	MI

General Provider Information

NPI Number	:	1063509974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE NICOLE SHER DO

Provider Business Mailing Address
First Line	:	41400 DEQUINDRE RD
Second Line	:	STE 107
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-3763
Country	:	US
Telephone Number	:	586-466-5911
Fax Number	:	586-466-5921

Provider Business Practice Location Address
First Line	:	41400 DEQUINDRE RD
Second Line	:	STE 107
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-3763
Country	:	US
Telephone Number	:	586-466-5911
Fax Number	:	586-466-5921

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	05/24/2013

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