Individual
DR. SAMER GEORGE SAQQA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
23829 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-1186
(586) 773-1300
(586) 773-1600
Mailing address
24715 LITTLE MACK AVE, SUITE 100, SAINT CLAIR SHORES, MI 48080-3207
(586) 779-7970
(586) 778-2684
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101016012
MI
207XS0117X
Orthopaedic Surgery of the Spine Physician
5101016012
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M09460
GRP MEDICARE
MI
01
—
0N45090
GRP MEDICARE
MI
05
—
1629252689
—
MI
Enumeration date
12/26/2007
Last updated
03/08/2024
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