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Individual

DR. GORDAN SAMOUKOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 E MEDICAL CENTER DRIVE, 3RD FLOOR CARDIOVASCULAR CENTER RECP C, ANN ARBOR, MI 48109-5864
(888) 287-1082
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301105602
MI
2086S0102X
Surgical Critical Care Physician
4301105602
MI

Other

Enumeration date
09/29/2014
Last updated
10/02/2014
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