Individual
DR. SAMANTHA GAIR GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3055 HILTON RD STE C, FERNDALE, MI 48220-1096
(248) 965-2927
(248) 965-2912
Mailing address
3055 HILTON RD STE C, FERNDALE, MI 48220-1096
(248) 965-2927
(248) 965-2912
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901002549
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002549
MI
Other
Enumeration date
04/04/2014
Last updated
08/21/2020
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