Individual
DR. LA SHARON BOBO SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4986 N ADAMS RD, SUITE C, ROCHESTER, MI 48306-5017
(248) 475-5601
Mailing address
64 MILL HOUSE DR, OAKLAND, MI 48363-1611
(313) 506-0124
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301070962
MI
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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