Individual
SAMANTHA J PERLEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4000 28TH AVE S, MOORHEAD, MN 56560
(701) 234-3200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
13196
ND
208000000X
Pediatrics Physician
Primary
58162
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2011
Last updated
03/01/2022
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