MEDICARE: PETER M SAMET MD PLC

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

General Provider Information

NPI Number	:	1497775944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETER M SAMET MD PLC

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	:	248-644-8493

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	:	248-644-8493

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PETER SAMET
Credential	:	MD
Telephone Number	:	248-644-8454

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	08/22/2020

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