Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA JO BUCHANAN-NORTHUP, MSTCM L.AC.
Active Sole ProprietorSAMANTHA JO BUCHANAN-NORTHUP, MSTCM L.AC. is a Acupuncturist healthcare provider located in GROSSE POINTE, Michigan. NPI 1114491693 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · GROSSE POINTE, MI
Registration Details
- NPI Number
- 1114491693
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 17, 2019 (7.5796650305903 yrs)
- Last Updated
- May 10, 2023
- Licenses
-
17303 (CA)5402000031 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17770 MACK AVEGROSSE POINTE, MI, 48230Browse MI providers · Browse ZIP 48230
- Phone
- 3139245514
- Primary Specialty
-
Acupuncturist
171100000X
- Additional Specialty
- Acupuncturist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.