Individual
SAMUEL LEVI WORSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D
Contact information
Practice address
3920 ST FRANCIS WAY STE 220, LAFAYETTE, IN 47905-4922
(765) 428-5950
(765) 428-5951
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02005855A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
02005855A
IN
Other
Enumeration date
05/18/2015
Last updated
10/17/2023
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