Individual
BENJAMIN W SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IONM
Contact information
Practice address
28345 BECK RD STE 103, WIXOM, MI 48393-4733
(248) 561-5304
(903) 328-6568
Mailing address
28345 BECK RD STE 103, WIXOM, MI 48393-4733
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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