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Derek Sheridan
NPI 1922503036 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1300 Beard St
Port Huron, MI 48060 - Phone
- (810) 982-9500
- Organisation at this address
- Marwood Manor Nursing Home
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Additional practice sites
- 2601 Electric Ave, Port Huron, MI
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan