MICHAEL JAY SCOTT SHERIDAN

LAFAYETTE, IN
NPI1174519466
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IN  01069765A)
Additional Taxonomies208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: GA  79395)
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: FL  ME 87486)
Enumeration Date2005-09-22
Last Update Date2018-08-10
Business Address
Dr. MICHAEL JAY SCOTT SHERIDAN M.D.
1116 N 16TH ST STE A
LAFAYETTE, IN 47904
Phone number: 765-448-8000
Mailing Address
Dr. MICHAEL JAY SCOTT SHERIDAN M.D.
PO BOX 5545
LAFAYETTE, IN 47903-5545
Phone number: 765-448-8000