Individual provider · NPI-1

Samuel Dewitt, DO

Ophthalmology · Royal Oak, MI

NPI number1255260790
StatusActive
Last updated in NPPESMay 19, 2026

Details

NPI
1255260790
Entity type
Individual (NPI-1)
Name
Samuel Dewitt
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
May 19, 2026
Certification date
May 19, 2026
Last updated
May 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology5151018136MIYes

Practice location

3535 W 13 Mile Rd # 555
Royal Oak, MI 48073-6770

Phone 248-551-2020

Mailing address

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Phone 248-551-2020

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