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Individual

SAMANTHA WILLIAMS AL-KHARUSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
721 KENMOOR AVE SE, GRAND RAPIDS, MI 49546-2306
(616) 949-6112
(616) 949-8530
Mailing address
721 KENMOOR AVE SE, GRAND RAPIDS, MI 49546-2306
(616) 949-6112

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301509221
MI
208000000X
Pediatrics Physician
75134-20
WI
208M00000X
Hospitalist Physician
75134
WI
390200000X
Student in an Organized Health Care Education/Training Program
7761851
WI

Other

Enumeration date
06/18/2019
Last updated
04/20/2026
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