Individual
SAMUEL NICHOLAS REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3595
(734) 712-5344
Mailing address
PO BOX 77269, DETROIT, MI 48277-0269
(512) 583-2000
(512) 583-2001
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301513556
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
04/27/2026
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