Individual provider · Type 1 NPI
Amanda Marie Shepard-Hayes, MD
Pediatric Dermatology Physician · Grand Rapids, MI
NPI number
1922458736
Active
Practice location
35 Michigan St NE Ste 5201
Grand Rapids, MI 49503-2530
Mailing address
100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dermatology Physician Primary | 207NP0225X | 4301504742 (MI) |
| Dermatology Physician | 207N00000X | 4301504742 (MI) |
Pediatric Dermatology Physician: A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
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About NPI 1922458736
Amanda Marie Shepard-Hayes, MD's National Provider Identifier is 1922458736, issued on Jun 13, 2016. The primary taxonomy on file is Pediatric Dermatology Physician (207NP0225X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 27, 2025.