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NPI Code Detail

MEDICARE: MICHAEL A SERMERSHEIM MD

MEDICARE:   MICHAEL A SERMERSHEIM  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
12084N0400XNeurology Physician01036350AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000089470OTHERINANTHEM BXBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770587487
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL A SERMERSHEIM MD
Provider Business Mailing Address
First Line : 6983 HILLSDALE CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2054
Country : US
Telephone Number : 317-849-8350
Fax Number : 317-576-6311
Provider Business Practice Location Address
First Line : 8402 HARCOURT RD STE 615
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2055
Country : US
Telephone Number : 317-806-6991
Fax Number : 317-806-6990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 03/24/2021

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Directions to “ MICHAEL A SERMERSHEIM MD” Practice Location

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