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Organization

WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE

Active
Other names
University Physician Grou
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABDUL B ABOU-SAMRA MD, PH.D. (DIVISION CHIEF ENDOCRINOLOGY)
(313) 745-4008
Entity
Organization

Contact information

Practice address
4201 SAINT ANTOINE ST, UNIVERSITY HEALTH CENTER - 4H, DETROIT, MI 48201-2153
(313) 745-4008
Mailing address
4201 SAINT ANTOINE ST, UNIVERSITY HEALTH CENTER - 4H, DETROIT, MI 48201-2153
(313) 745-4008

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4301089157
MI

Other

Enumeration date
12/04/2007
Last updated
12/04/2007
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