Individual
SAMUEL GHENCIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-1991
Mailing address
7124 TOXAWAY LN, CHARLOTTE, NC 28269-2460
(704) 728-7644
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.148150
OH
207P00000X
Emergency Medicine Physician
4351046622
MI
Other
Enumeration date
06/03/2020
Last updated
02/12/2025
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