Individual
SAMANTHA SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5101028544
MI
2084N0400X
Neurology Physician
5151014770
MI
Other
Enumeration date
05/12/2021
Last updated
05/08/2026
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