Individual
MR. DAVID W SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, MSN
Contact information
Practice address
303 S MAIN ST, BLUFFTON, IN 46714-2503
(260) 824-3210
Mailing address
160 STONEY CREEK CT, BLUFFTON, IN 46714-9396
(260) 824-8105
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28100574A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100268120A
—
IN
Enumeration date
04/26/2006
Last updated
12/09/2011
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