Individual
NICOLE SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 7TH STREET NE - ALTRU CLINIC/DEVILS LAKE, DEVILS LAKE, ND 58301-2719
(701) 662-2157
(701) 780-4391
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
(701) 780-4391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15356
ND
207Q00000X
Family Medicine Physician
RL14150
ND
Other
Enumeration date
06/07/2016
Last updated
09/24/2020
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