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Contact Information

SAMANTHA G GIBSON, DPM
3055 HILTON RD
STE 3
FERNDALE, MI48220
 Phone: 248-965-2927
 Fax: 248-965-2912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SAMANTHA G GIBSON · (Female)

NPI Number 1497173595
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/04/2014
Last updated 08/21/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5901002549
Hospital affiliation(s)
  • WILLIAM BEAUMONT HOSPITAL - (Acute Care)
    3601 W THIRTEEN MILE RD
    ROYAL OAK, MI 48073
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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