Provider Demographics
NPI:1942425004
Name:SHEPHARD, STEVEN NEIL (DO, FACOOG)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:NEIL
Last Name:SHEPHARD
Suffix:
Gender:M
Credentials:DO, FACOOG
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1310 WISCONSIN AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-2472
Mailing Address - Country:US
Mailing Address - Phone:616-844-4528
Mailing Address - Fax:616-847-5608
Practice Address - Street 1:1660 MEDICAL BLVD STE 300
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1497
Practice Address - Country:US
Practice Address - Phone:239-513-0053
Practice Address - Fax:239-596-0900
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101016748207V00000X
FLOS17080207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology