Individual
SAMUEL PEROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4160 JOHN R ST, DETROIT, MI 48201-2021
(313) 833-8467
Mailing address
4160 JOHN R ST, SUITE 522, DETROIT, MI 48201-2020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301043383
—
Other
Enumeration date
06/10/2006
Last updated
08/30/2012
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