Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sherrill D Busboom, PA

Individual provider Physician Assistant · NPI 1720046626

Sherrill D Busboom, PA is a Physician Assistant in Wyoming, Michigan. Works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2093 Health Dr SW Ste 100
Wyoming, MI 49519
Phone: (616) 252-7264
Fax: (616) 252-6977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3200 W Centre Ave, Portage, MI 49024-4889 — (269) 324-0799
  • 3200 W Centre Ave, Portage, MI 49024-4889 — (269) 324-0799

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601001603 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 5601001603 (MI)

Record details

NPI number1720046626
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 2, 2006
Last updated in NPPESJuly 23, 2018

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