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Organization
MICHAEL D. SHEPHERD M.D. INC.
Active
Organization
MICHAEL D. SHEPHERD M.D. INC.
Active
Other names
FAMILY CARE PARTNERS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D. SHEPHERD M.D. (PHYSICIAN)
(707) 994-2920
Entity
Organization
Contact information
Practice address
15322 LAKESHORE DR, STE. 201, CLEARLAKE, CA 95422-9814
(707) 994-2920
(707) 994-2917
Mailing address
718 N 11TH AVE, STE. D, HANFORD, CA 93230-3667
(559) 584-1881
(559) 584-2306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G45994
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0082730
—
CA
01
—
ZZZ43971Z
BLUE SHIELD
CA
Enumeration date
10/22/2007
Last updated
04/20/2008
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