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Individual

DR. SAM TIRGARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.S.

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
4240 CASS AVE APT 303, DETROIT, MI 48201-1973
(734) 865-0556

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301105755
MI
207R00000X
Internal Medicine Physician
4301105755
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
4301502064
MI

Other

Enumeration date
10/23/2014
Last updated
12/20/2021
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