Organization
DAVID M. SHEPHERD MD PC
Active
Organization
DAVID M. SHEPHERD MD PC
Active
Other names
Style-Eyes Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MARTIN SHEPHERD MD (PRESIDENT)
(248) 347-8030
Entity
Organization
Contact information
Practice address
41935 W 12 MILE RD, SUITE 103, NOVI, MI 48377-3111
(248) 347-8030
(248) 305-6694
Mailing address
41935 W 12 MILE RD, SUITE 103, NOVI, MI 48377-3111
(248) 347-8030
(248) 305-6694
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32402
MI
261Q00000X
Clinic/Center
32402
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE3726
MEDICARE RAILROAD
MI
Enumeration date
08/14/2007
Last updated
05/21/2009
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