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NPI Code Detail

MEDICARE: DR. SHERYL LYN FORD ND

MEDICARE:  DR. SHERYL LYN FORD  ND
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
1175F00000XNaturopath

General Provider Information

NPI Number : 1144492216
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERYL LYN FORD ND
Provider Business Mailing Address
First Line : 6326 279TH AVE NE
Second Line :
City : NORTH BRANCH
State : MN
Zip : 55056-6312
Country : US
Telephone Number : 651-263-7623
Fax Number :
Provider Business Practice Location Address
First Line : 6326 279TH AVE NE
Second Line :
City : NORTH BRANCH
State : MN
Zip : 55056-6312
Country : US
Telephone Number : 651-263-7623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2008
Last Update Date : 03/29/2008

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Directions to “ DR. SHERYL LYN FORD ND” Practice Location

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