Individual
SAMEH F S DWAIKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-6225
Mailing address
PO BOX 165, GRAND RAPIDS, MI 49501-0165
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301097490
MI
Other
Enumeration date
08/29/2010
Last updated
06/05/2013
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