Individual provider · Type 1 NPI

Shane Sampson, MD

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

NPI number 1306532734 Active

Practice location

4201 Saint Antoine, Ste., 8C-UHC
Detroit, MI 48201

Call (313) 745-1302 Map

Mailing address

3990 John R St
Detroit, MI 48201-2018

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400X4301514609 (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1306532734

Shane Sampson, MD's National Provider Identifier is 1306532734, issued on Apr 18, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Jun 13, 2025.