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Individual

SAMANTHA DILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 661-6417
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704284681
MI
363LF0000X
Family Nurse Practitioner
AC002090
MD
363LP0200X
Pediatric Nurse Practitioner
0024172146
VA
363LP0200X
Pediatric Nurse Practitioner
AC001428
MD

Other

Enumeration date
11/08/2016
Last updated
01/31/2024
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