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Organization

SAMIR SETOUHI MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMIR SOTOUHI M.D., B.C. (OWNER)
(313) 581-0003
Entity
Organization

Contact information

Practice address
7145 APPOLINE ST, NEUROLOGY, HEADACHE & PAIN MANAGEMENT, DEARBORN, MI 48126-1991
(313) 581-0003
(313) 581-3399
Mailing address
7145 APPOLINE ST, NEUROLOGY, HEADACHE & PAIN MANAGEMENT, DEARBORN, MI 48126-1991
(313) 581-0003
(313) 581-3399

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301044804
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1308255022
BCBS
MI
05
4880228
MI
Enumeration date
01/25/2008
Last updated
01/25/2008
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