Individual provider · Type 1 NPI

Samantha Alecia Mix-Souther, MD

Student in an Organized Health Care Education/Training Program · Kalamazoo, MI

NPI number 1063816684 Active

Practice location

1000 Oakland Dr
Kalamazoo, MI 49008-1282

Call (269) 337-4400 Map

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X4301110346 (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000X4301110346 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063816684

Samantha Alecia Mix-Souther, MD's National Provider Identifier is 1063816684, issued on Oct 9, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kalamazoo, MI. The record was last updated on Dec 17, 2021.