Individual
SAMUEL D DOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1113 S MILWAUKEE ST, JACKSON, MI 49203-3281
(734) 678-1106
Mailing address
1113 S MILWAUKEE ST, JACKSON, MI 49203-3281
(734) 678-1106
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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