Individual
HEBA SAMRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 E MICHIGAN AVE STE 205, JACKSON, MI 49201-1800
(517) 205-7618
(517) 205-7639
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012948
—
Other
Enumeration date
03/03/2025
Last updated
03/30/2026
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