Individual
SAMUEL BENJAMIN HUXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 N MICHIGAN ST STE 400, SOUTH BEND, IN 46601-1081
(574) 647-8120
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-3725
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
68679
MN
207RI0011X
Interventional Cardiology Physician
Primary
4351052073
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300121696
—
IN
Enumeration date
03/16/2018
Last updated
02/20/2026
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