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Individual

MICHELLE TAMARA SHEPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., PHD.

Contact information

Practice address
353 BLAIR PARK RD, WILLISTON, VT 05495-7530
(802) 847-1440
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042-0012954
VT
208M00000X
Hospitalist Physician
042.0012954
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023652
VT
05
3098587
NH
Enumeration date
04/28/2011
Last updated
09/19/2025
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