Sampson, Michael

Sampson, Michael is an individual health care provider with primary practice located at 513 5Th Ave W , Grand Marais MN 55604-3017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sampson, Michael can be contacted via phone (218) 387-2330.

Contact Information

Primary practice address
513 5Th Ave W Grand Marais MN 55604-3017
Phone: (218) 387-2330
Fax: (218) 387-1278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29409 Minnesota

Profile Details

NPI number 1851483515
LBN Legal business name Sampson, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Dec 28th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851483515 NPPES
Minnesota Other 69144CO BCBS
Minnesota MEDICAID 536253900 BCBS

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