Samantha Jo Buchanan-Northup, MSTCM L.AC.

NPI #1114491693 in Grosse Pointe, Michigan

Provider Information

NPI Number: 1114491693
Entity Type: Individual
Name: Samantha Jo Buchanan-Northup, MSTCM L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: MSTCM L.AC.
Enumeration Date: Jan 17, 2019
Last Updated: May 10, 2023

Practice Location

Address: 17770 MACK AVE
City: Grosse Pointe
State: Michigan
ZIP Code: 48230
Phone: (313) 924-5514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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