Individual
SAMANTHA KATHLEEN HENDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 946-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01093702A
IN
208600000X
Surgery Physician
4301093645
MI
208C00000X
Colon & Rectal Surgery Physician
01093702A
IN
208C00000X
Colon & Rectal Surgery Physician
Primary
4301093645
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02713380
—
NY
Enumeration date
06/27/2006
Last updated
06/14/2024
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