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Individual

THOMAS SHEPPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2305 GENOA BUSINESS PARK DR STE 170, BRIGHTON, MI 48114-7005
(810) 299-8554
Mailing address
2305 GENOA BUSINESS PARK DR STE 170, BRIGHTON, MI 48114-7005
(810) 299-8554

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601010743
MI

Other

Enumeration date
10/04/2021
Last updated
02/25/2022
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