Individual
DR. MICHAEL THOMAS SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 PARK AVE, BLOOMFIELD, CT 06002-3207
(872) 231-3162
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101272025
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2017
Last updated
11/12/2025
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