Individual
MACKENZIE SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 671-3800
Mailing address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 671-3800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5151016999
MI
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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