GARY L SHEPHERDSON

Dr GARY L SHEPHERDSON is a male medical professional, specializing in Family Medicine. He graduated in 1975.

Contact

3108 MAIN ST
EAST TROY
WI
531201150

Tel: 2626425122

GARY L SHEPHERDSON Information

Npi 1992757744
Pac Id 9931389996
Professional Enrollment Id I20110208000521
Last Name SHEPHERDSON
First Name GARY
Middle Name L
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1975
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 3108 MAIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAST TROY
State WI
Zip Code 531201150
Phone Number 2626425122
Hospital Affiliation Ccn 1 520059
Hospital Affiliation Lbn 1 AURORA MEMORIAL HOSPITAL BURLINGTON
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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