Individual provider · Type 1 NPI

Susan J. Sam

Family Nurse Practitioner · Grosse Pointe, MI

NPI number 1225565377 Active

Practice location

468 Cadieux Rd
Grosse Pointe, MI 48230-1507

Mailing address

7146 N Central Park
Shelby Township, MI 48317-2388

Other practice locations

  • 44201 Dequindre Rd, Troy, MI 48085-1117 · (248) 964-5000

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse 163WM0705X4704257975 (MI)
Family Nurse Practitioner Primary 363LF0000X4704257975 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1225565377

Susan J. Sam's National Provider Identifier is 1225565377, issued on May 20, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grosse Pointe, MI. The record was last updated on Jan 6, 2021.