Individual
ROBERT SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2619 PRODUCT DR, ROCHESTER HILLS, MI 48309-3807
(248) 844-9650
Mailing address
2619 PRODUCT DR, ROCHESTER HILLS, MI 48309-3807
(248) 844-9650
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703057871
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2531245
—
MI
Enumeration date
09/18/2009
Last updated
09/18/2009
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