Individual
MARIA SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 3500 FIFTEEN MILE ROAD, STERLING HEIGHTS, MI 48310
(586) 977-9936
(586) 268-8158
Mailing address
HENRY FORD HEALTH SYSTEM, 3500 FIFTEEN MILE ROAD, STERLING HEIGHTS, MI 48310
(586) 977-9936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
065813
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MS065813
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
07/08/2007
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