Individual
SAMSON P SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11012 E 13 MILE RD, SUITE 112, WARREN, MI 48093-2572
(586) 573-6880
(586) 573-2562
Mailing address
11012 E 13 MILE RD STE 112, WARREN, MI 48093-2546
(586) 582-0864
(586) 582-0964
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
4301061347
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3258892
—
MI
01
—
SS061347
BCBS PIN #
MI
Enumeration date
08/17/2005
Last updated
02/01/2024
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