SearchMichigan175T00000X

Samuel Mccoy, CPRM

NPI 1700702859 · on the registry since 2026

Practice

Address
2011 Clements St
Detroit, MI 48238
Phone
(313) 962-9446
Fax
(313) 502-5147

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-24

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