Individual
SAMER HASSNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5215 HOLY CROSS PKWY, ST. JOSEPH REGIONAL MEDICAL CENTER, MISHAWAKA, IN 46545-1469
(574) 335-5000
Mailing address
14654 STONINGTON CT, GRANGER, IN 46530-8274
(216) 904-3415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01075142
IN
208M00000X
Hospitalist Physician
01075142A
IN
208M00000X
Hospitalist Physician
2010035691
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010035691
THE STATE BOARD OF REGISTRATION FOR THE HEALING ART
MO
Enumeration date
10/20/2009
Last updated
10/31/2024
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