Individual provider · Type 1 NPI

Courtney Therese Shepard, MD, PhD

Student in an Organized Health Care Education/Training Program · Canton, MI

NPI number 1629820949 Active

Practice location

1051 N Canton Center Rd
Canton, MI 48187-5097

Call (734) 539-5080 Map

Mailing address

1200 E Hospital Dr, D3230
Ann Arbor, MI 48109

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351055677 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629820949

Courtney Therese Shepard, MD, PhD's National Provider Identifier is 1629820949, issued on Apr 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Canton, MI. The record was last updated on Jul 2, 2026.