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Individual

SAMUEL BLOOMSBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 E 1ST ST, MORRIS, MN 56267-1408
(320) 589-1313
(320) 589-1065
Mailing address
400 E 1ST ST, MORRIS, MN 56267-1408
(320) 589-1313
(320) 589-1065

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
RL17467
ND

Other

Enumeration date
06/21/2021
Last updated
07/30/2026
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