SAMUEL SRINIVASAN

DETROIT, MI
NPI1396385563
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  5151016683)
Enumeration Date2020-01-15
Last Update Date2024-04-11
Business Address
SAMUEL SRINIVASAN DO
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
Mailing Address
SAMUEL SRINIVASAN DO
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600