MEDICARE: SHERWOOD MEDICAL CENTER, INC

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	208800000X	Urology Physician	046953	MI

General Provider Information

NPI Number	:	1477510188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHERWOOD MEDICAL CENTER, INC

Provider Business Mailing Address
First Line	:	7441 W 7 MILE RD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48221-2123
Country	:	US
Telephone Number	:	313-864-4452
Fax Number	:	313-864-4469

Provider Business Practice Location Address
First Line	:	7441 W 7 MILE RD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48221-2123
Country	:	US
Telephone Number	:	313-864-4452
Fax Number	:	313-864-4469

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CONRAD CUTHBERT MAITLAND
Credential	:	M.D.
Telephone Number	:	313-864-4452

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	08/15/2012

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Directions to “SHERWOOD MEDICAL CENTER, INC ” Practice Location

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