Individual
GINN J SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36601 GRAND RIVER AVE, APT 103, FARMINGTON, MI 48335-2960
(586) 864-6177
Mailing address
36601 GRAND RIVER AVE, APT 103, FARMINGTON, MI 48335-2960
(586) 864-6177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704255325
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704255325
MI
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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