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Individual

DR. DAVID MARTIN SHEPHERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
41935 W 12 MILE RD, 103, NOVI, MI 48377-3111
(248) 347-8030
(248) 305-6694
Mailing address
30178 MAYFAIR DR, FARMINGTON HILLS, MI 48331-2156
(248) 661-9068

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32402
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00288647
MEDICARE RAILROAD
MI
Enumeration date
06/06/2006
Last updated
11/12/2014
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