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NPI Code Detail

MEDICARE: SHERFIELD DAWSON III MD

MEDICARE: SHERFIELD DAWSON III MD
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
1174400000XSpecialist036119837IL
22086S0127XTrauma Surgery Physician036119837IL
3208600000XSurgery Physician036119837IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20533210001OTHERDMERC

General Provider Information

NPI Number : 1447212733
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERFIELD DAWSON III MD
Provider Business Mailing Address
First Line : 611 W PARK ST
Second Line : FAPC
City : URBANA
State : IL
Zip : 61801-2500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3105 FIELDS SOUTH DR
Second Line :
City : CHAMPAIGN
State : IL
Zip : 61822-3743
Country : US
Telephone Number : 217-383-3240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 06/03/2025

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