Individual
JONATHAN DAVID SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5111 CEDARHURST DR, WEST BLOOMFIELD, MI 48322-2026
(248) 470-2348
(248) 668-9222
Mailing address
5111 CEDARHURST DR, WEST BLOOMFIELD, MI 48322-2026
(248) 470-2348
(248) 668-9222
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301061842
MI
Other
Enumeration date
01/05/2009
Last updated
04/20/2010
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