Individual
MRS. SAMANTHA ADDISON VOLKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(248) 561-6855
Mailing address
295 WASHINGTON RD, GROSSE POINTE, MI 48230-1613
(248) 561-6855
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601004996
MI
Other
Enumeration date
05/29/2008
Last updated
07/13/2020
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