M.D. Samson P Samuel, NPI 1679565584
Surgery of the Hand (Plastic Surgery) Physician in Warren, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1679565584
NPI Entity Type Individual
Provider Name M.D. Samson P Samuel
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 11012 E 13 Mile Rd, Suite 112, Warren, MI, US
Provider Mailing Address 29900 Lorraine Ave, Suite 400, Warren, MI, US, 480935266
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2082S0105X

Taxonomy Name Surgery of the Hand (Plastic Surgery) Physician
Classification

Plastic Surgery

Group

Allopathic & Osteopathic Physicians

License No. 4301061347
License State MI
Description A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Business Address

M.D. Samson P Samuel
11012 E 13 Mile Rd
Suite 112

Warren, MI, US

Phone: 586-573-6880
Fax: 586-573-2562

Mailing Address

M.D. Samson P Samuel
29900 Lorraine Ave
Suite 400
Warren, MI, US
ZIP 480935266
Phone: 586-582-0864
Fax: 586-582-0964

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
3258892 MI MEDICAID 05
SS061347 MI BCBS PIN # 01

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