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Individual
SAMUEL TUCKER BURNS
Active
Individual
SAMUEL TUCKER BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62705
MN
207Q00000X
Family Medicine Physician
E-11506
AR
208D00000X
General Practice Physician
62705
MN
208D00000X
General Practice Physician
MD-44699
IA
Other
Enumeration date
04/16/2014
Last updated
04/05/2021
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