Individual
AMANDA MARIE SHEPARD-HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
35 MICHIGAN ST NE STE 5201, GRAND RAPIDS, MI 49503-2530
(616) 486-5885
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301504742
MI
207NP0225X
Pediatric Dermatology Physician
Primary
4301504742
MI
Other
Enumeration date
06/13/2016
Last updated
10/27/2025
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