Individual
DANIELLE ELIZABETH SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8906 M 89, RICHLAND, MI 49083-9540
(269) 286-7130
Mailing address
8906 M 89, RICHLAND, MI 49083-9540
(269) 286-7130
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012681
MI
363A00000X
Physician Assistant
PA8790
MA
Other
Enumeration date
09/06/2017
Last updated
01/08/2025
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