Individual
SAMANTHA WARD IANNUZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(248) 766-1269
Mailing address
1717 NOTTINGHAM RD, LANSING, MI 48911-1034
(248) 766-1269
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102-206306
VA
Other
Enumeration date
03/24/2017
Last updated
03/15/2023
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