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Samson Imalele
NPI 1619509270 · on the registry since 2020 · sole proprietor
Practice
- Address
- 12907 E Jefferson Ave
Detroit, MI 48215 - Phone
- (313) 926-8918
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-11
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