Individual
DR. JAMES SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 884-4088
(262) 884-4078
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036126828
IL
207P00000X
Emergency Medicine Physician
53694
WI
207Q00000X
Family Medicine Physician
036-126828
IL
207Q00000X
Family Medicine Physician
Primary
53694-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012273
—
WI
Enumeration date
04/09/2007
Last updated
03/10/2025
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