Search › Michigan › 363LA2100X
Jaina Samuel
NPI 1003379314 · on the registry since 2019
Practice
- Address
- 22101 Moross Rd
Detroit, MI 48236 - Phone
- (313) 343-4000
- Organisation at this address
- Largo Glm Pllc
Berg Vascular Pc
St John Hospital
St. John Hospital
St. John HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 504
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163WM0705X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan