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

TaxonomyCodeLicense
Pediatric Dermatology Physician Primary 207NP0225X4301504742 (MI)
Dermatology Physician 207N00000X4301504742 (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.