Individual
DR. SAMANTHA J GANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2351 CONNECTICUT AVE S STE 200, SARTELL, MN 56377-2477
(320) 259-1411
(320) 259-8967
Mailing address
2351 CONNECTICUT AVE S STE 200, SARTELL, MN 56377-2477
(320) 259-1411
(320) 259-8967
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
253902
MA
Other
Enumeration date
03/06/2008
Last updated
07/21/2022
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