| David M. Shepherd Md Pc | |
|
41935 W 12 Mile Rd Suite 103 Novi MI 48377-3111 | |
| (248) 347-8030 | |
| (248) 305-6694 |
| Full Name | David M. Shepherd Md Pc |
|---|---|
| Speciality | Ophthalmology |
| Location | 41935 W 12 Mile Rd, Novi, Michigan |
| Authorized Official Name and Position | David Martin Shepherd (PRESIDENT) |
| Authorized Official Contact | 2483478030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David M. Shepherd Md Pc 41935 W 12 Mile Rd Suite 103 Novi MI 48377-3111 Ph: (248) 347-8030 | David M. Shepherd Md Pc 41935 W 12 Mile Rd Suite 103 Novi MI 48377-3111 Ph: (248) 347-8030 |
| NPI Number | 1184816092 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 05/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184816092 | NPI | - | NPPES |
| DE3726 | Other | MI | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 32402 (Michigan) | Secondary |
| 207W00000X | Ophthalmology | 32402 (Michigan) | Primary |
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