Samuel D Carter
General Practice Physician Geriatric Medicine
17433 Delaware Ave
Redford
, Michigan 48240-2339
Samuel D Carter
General Practice Physician Geriatric Medicine
17433 Delaware Ave
Redford
, Michigan 48240-2339
(313) 587-0949
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About
Features
Specialties
- Geriatric Medicine
- General Practice Physician
Languages spoken
- English
Location
First Address
- Samuel D Carter
- 17433 Delaware Ave
- Redford, MI
- Zip : 48240-2339
- Phone : (313) 587-0949
Second Address
- Samuel D Carter
- 17433 Delaware Ave
- Redford, MI
- Zip : 48240-2339
- Phone : (313) 587-0949
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 4704280046 | MI |
| N | 208D00000X | General Practice Physician | 4704280046 | MI |
National Provider Identifier
| NPI | 1063984094 |
|---|---|
| Provider Name | Samuel D Carter |
| First Address | Redford, MI 48240-2339 |
| Second Address | Redford, MI 48240-2339 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.