Individual
SAMUEL G HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14326 ROCHESTER ST NE, HAM LAKE, MN 55304-6266
(612) 486-2226
Mailing address
14326 ROCHESTER ST NE, HAM LAKE, MN 55304-6266
(612) 486-2226
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DOS-1424
HI
Other
Enumeration date
06/22/2010
Last updated
07/08/2021
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