Individual
SAM SHAMOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
38916 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-2890
(586) 713-8397
Mailing address
38916 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-2890
(586) 713-8397
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
MI
Other
Enumeration date
05/22/2013
Last updated
12/29/2020
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