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Organization

CARDIOLOGY ASSOC OF PORT HURON

Active
Other names
port huron heart center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BASHAR SAMMAN MD (PRESIDENT)
(810) 985-9681
Entity
Organization

Contact information

Practice address
1222 10TH AVE, PORT HURON, MI 48060-3406
(810) 985-9681
(810) 985-3590
Mailing address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301048340
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3066919
MI
01
770G460150
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/12/2006
Last updated
03/17/2022
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