Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2009012953 | MO |
Y | 207V00000X | Obstetrician & Gynecologist | 4301109344 | MI |
N | 207VE0102X | Reproductive Endocrinologist | 4301109344 | MI |
NPI | 1053549634 |
---|---|
Provider Name | Dr. Samantha Beth Schon |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-4276 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2009 |
Last Update Date | 08/09/2016 |