MEDICARE: PETER M SAMET MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	4301060169	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447293246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER M SAMET MD

Provider Business Mailing Address
First Line	:	641 W 9 MILE RD
Second Line	:
City	:	FERNDALE
State	:	MI
Zip	:	48220-1779
Country	:	US
Telephone Number	:	248-644-8454
Fax Number	:

Provider Business Practice Location Address
First Line	:	641 W 9 MILE RD
Second Line	:
City	:	FERNDALE
State	:	MI
Zip	:	48220-1779
Country	:	US
Telephone Number	:	248-644-8454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	03/28/2014

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Directions to “ PETER M SAMET MD” Practice Location

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