Alexander D. Shepard
Vascular Surgeon
Henry Ford Health System 2799 West Grand Boulevard
Detroit
, Michigan 48202
Alexander D. Shepard
Vascular Surgeon
Henry Ford Health System 2799 West Grand Boulevard
Detroit
, Michigan 48202
(313) 916-3155
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Alexander D. Shepard
- Henry Ford Health System 2799 West Grand Boulevard
- Detroit, MI
- Zip : 48202
- Phone : (313) 916-3155
Second Address
- Alexander D. Shepard
- Henry Ford Health System 2799 West Grand Boulevard
- Detroit, MI
- Zip : 48202
- Phone : (313) 916-2436
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 048953 | MI |
National Provider Identifier
| NPI | 1114080744 |
|---|---|
| Provider Name | Alexander D. Shepard |
| First Address | Detroit, MI 48202 |
| Second Address | Detroit, MI 48202 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/12/2006 |
| Last Update Date | 27/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 167825210 | (05) | MI |
| 700H262310 | BLUE CROSS-BLUE CROSS (01) | |
| AS048953 | CHAMPUS-CHAMPUS (01) | |
| AS048953 | COMMERCIAL-COMMERCIAL NUMBER (01) | |
| B48970 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.