Individual
ALEXANDER D. SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-3155
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
048953
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167825210
—
MI
01
—
700H262310
BLUE CROSS-BLUE CROSS
—
01
—
AS048953
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
12/18/2006
Last updated
02/27/2021
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