Individual
SAMANTHA ANNE WEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
333 SMITH AVE N, UNITED HOSPITAL, SAINT PAUL, MN 55102
(612) 241-8755
Mailing address
2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 55414-3279
(612) 439-1860
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12162
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P67381
NYS REGISTRATION
NY
Enumeration date
10/02/2008
Last updated
11/22/2022
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