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Individual

SAMIRA SUGULE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10961 CLUB WEST PKWY, BLAINE, MN 55449-5866
(763) 528-2987
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71169
CT
208M00000X
Hospitalist Physician
71169
CT

Other

Enumeration date
03/27/2019
Last updated
10/13/2025
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