Individual
SAMANTHA JO BUCHANAN-NORTHUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSTCM L.AC.
Contact information
Practice address
17770 MACK AVE, GROSSE POINTE, MI 48230
(313) 924-5514
Mailing address
17770 MACK AVE, GROSSE POINTE, MI 48230
(313) 924-5514
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
17303
CA
171100000X
Acupuncturist
Primary
5402000031
MI
Other
Enumeration date
01/17/2019
Last updated
05/10/2023
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