Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA ANNE MALL, LLMSW
ActiveRadiologic Technologist · SOUTHGATE, MI
Registration Details
- NPI Number
- 1396337275
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 11, 2021 (5.1930945847846 yrs)
- Last Updated
- Feb 14, 2023
Practice Information
- Address
-
19401 NORTHLINE RDSOUTHGATE, MI, 481952277Browse MI providers · Browse ZIP 48195
- Phone
- 7347857700
- Primary Specialty
-
Radiologic Technologist
246ZI1000X
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.