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Individual

DR. SOROUSH RABIEI SAMANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
221 MICHIGAN ST NE STE 200, GRAND RAPIDS, MI 49503-2533
(616) 267-8950
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351034531
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301503741
MI

Other

Enumeration date
03/29/2016
Last updated
04/28/2025
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