Individual
MISS RADHA SAMPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
43151 DALCOMA DR, CLINTON TOWNSHIP, MI 48038-6306
(586) 286-8720
(586) 286-8723
Mailing address
43151 DALCOMA DR, CLINTON TOWNSHIP, MI 48038-6306
(586) 286-8720
(586) 286-8723
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005934
MI
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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