Individual
SAM P RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
328 W CONAN ST, ELY, MN 55731-1145
(651) 232-7348
(651) 232-6665
Mailing address
445 E HARVEY ST, ELY, MN 55731-1901
(651) 303-7998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39198
MN
Other
Enumeration date
05/10/2006
Last updated
05/28/2015
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