Individual
SAMANTHA M MUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 KIMOLE LN, SUITE 240, ADRIAN, MI 49221-1478
(517) 263-9491
(517) 263-9591
Mailing address
1 SEAGATE, SUITE 800, TOLEDO, OH 43604-1558
(567) 585-1918
(419) 824-7359
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301088792
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000493280
ANTHEM
MI
01
—
0404610882
BCBS MI
MI
01
—
06316
PARAMOUNT
—
01
—
144133
CARE CHOICE PREFERRED C
MI
01
—
156940
GLHP
MI
01
—
40042
HPM
—
05
—
4907804
—
MI
05
—
4928260
—
MI
01
—
7819885
AETNA
—
01
—
P00357849
RRMC
MI
Enumeration date
08/04/2006
Last updated
11/03/2023
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