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Individual

DR. SAMIR SOTOUHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20225 ANN ARBOR TRL STE 100, DEARBORN HEIGHTS, MI 48127-2690
(313) 581-0003
(313) 581-3399
Mailing address
20225 ANN ARBOR TRL STE 100, DEARBORN HEIGHTS, MI 48127-2690
(313) 949-1411
(313) 581-3399

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301044804
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1308255022
BLUE CROSS BLUE SHEILD
MI
05
4880228
MI
Enumeration date
07/10/2006
Last updated
04/30/2024
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