Individual
DR. SAMER BALLOUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3577 W 13 MILE RD, SUITE 204, ROYAL OAK, MI 48073-6710
(248) 551-2446
(248) 551-1094
Mailing address
3577 W 13 MILE RD, SUITE 204, ROYAL OAK, MI 48073-6710
(248) 551-2446
(248) 551-1094
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301055648
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4201885
—
MI
Enumeration date
07/26/2005
Last updated
03/29/2011
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