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Individual
DR. MICHELLE MADELINE SHEPARD
Active
Individual
DR. MICHELLE MADELINE SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
1016791
MA
207RN0300X
Nephrology Physician
23565
SC
208M00000X
Hospitalist Physician
Primary
23565
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T78699
—
SC
Enumeration date
07/18/2005
Last updated
04/01/2024
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