Organization
SAMIR BASATA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR BASATA MD (OWNER)
(810) 742-3400
Entity
Organization
Contact information
Practice address
1501 S CENTER RD, BUILDING B, BURTON, MI 48509-1731
(810) 742-3400
(810) 742-2534
Mailing address
1501 S CENTER RD, BUILDING B, BURTON, MI 48509-1731
(810) 742-3400
(810) 742-2534
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301057189
MI
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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