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Susan J Sam
Family Nurse Practitioner in Grosse Pointe, Michigan
NPI 1225565377

Susan J Sam is a Family Nurse Practitioner based in Shelby Twp, MI and is specialized in Family. Susan J Sam practices in Grosse Pointe, MI. The NPI Number for Susan J Sam is 1225565377 and holds a License No. 4704257975 (Michigan).

The current practice location address for Susan J Sam is 468 Cadieux Rd, Grosse Pointe, MI and can be reached out via phone at 313-473-1605.

Location: 468 Cadieux Rd, Grosse Pointe, MI, 48317-2388
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225565377
Provider Name
Susan J Sam
Credential
Provider Entity Type
Individual
Gender
Female
Address
468 Cadieux Rd, Grosse Pointe, MI, 48317-2388
Phone Number
313-473-1605
Fax Number
Provider Enumeration Date
05/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
468 Cadieux Rd
City
Grosse Pointe
State
Michigan
Zip
48230-1507
Phone Number
313-473-1605
Fax Number
person
Provider Business Mailing Address Details
Address
468 Cadieux Rd
City
Grosse Pointe
State
Michigan
Zip
48230-1507
Phone Number
313-473-1605
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
163WM0705X
License No.
4704257975 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704257975 (Michigan)
Definition
Definition to come...
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