Individual
DR. OVIDIA SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
Mailing address
PO BOX 673427, DETROIT, MI 48267-3427
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101016499
MI
Other
Enumeration date
05/22/2007
Last updated
05/29/2013
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