Individual
ERIC MICHAEL SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2725 S 144TH ST STE 212, OMAHA, NE 68144-5253
(402) 637-0800
(402) 637-0808
Mailing address
2725 S 144TH ST STE 212, OMAHA, NE 68144-5253
(402) 637-0800
(402) 637-0808
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
27772
NE
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
27772
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27772
NEBRASKA LICENSE
NE
Enumeration date
04/11/2007
Last updated
06/24/2022
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