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1396385563
SAMUEL SRINIVASAN
DETROIT, MI
NPI
1396385563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 5151016683)
Enumeration Date
2020-01-15
Last Update Date
2024-04-11
Business Address
SAMUEL SRINIVASAN DO
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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Mailing Address
SAMUEL SRINIVASAN DO
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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