Individual
SAMUEL WALLER TERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
4301104732
MI
2084N0400X
Neurology Physician
4301104732
MI
2084N0600X
Clinical Neurophysiology Physician
4301104732
MI
Other
Enumeration date
05/09/2014
Last updated
12/30/2024
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