Individual
SAMUEL ROBERT GOBLIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 DELLWOOD ST S, CAMBRIDGE, MN 55008-1920
(612) 262-5000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
51489
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20309
RESIDENT PERMIT
MN
Enumeration date
05/07/2008
Last updated
07/25/2012
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