National Provider Identifier

Michelle Lauren Shellard

Michelle Lauren Shellard is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Rochester, NY and a listed phone number of (585) 279-4800.

NPI 1942889035Rochester, NYFamily Medicine Physician

Profile Overview

NPI
1942889035
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
April 06, 2021
Last Updated
May 09, 2024

Practice Location

  • 777 Clinton Ave S
  • Rochester, NY 14620-1448

Phone: (585) 279-4800

Specialties

  • Family Medicine Physician (207Q00000X)
  • Student In An Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1942889035
Entity Type
Individual
Last Name
Shellard
First Name
Michelle
Middle Name
Lauren
Provider Other Last Name
Woodcock
Provider Other First Name
Michelle
Provider Other Middle Name
Lauren
Provider Other Last Name Type Code
1
Mailing Street Address
777 Clinton Ave S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-1448
Mailing Country
US
Mailing Phone
(585) 279-4800
Practice Street Address
777 Clinton Ave S
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1448
Practice Country
US
Practice Phone
(585) 279-4800
Enumeration Date
April 06, 2021
Last Updated
May 09, 2024
Sex
Female
Sole Proprietor
No
Certification Date
May 09, 2024
Taxonomies
Family Medicine Physician (207Q00000X), Student In An Organized Health Care Education/Training Program (390200000X)