Individual
SAMANTHA KIEDROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 HAMLINE ST, GRAND FORKS, ND 58203-2819
(701) 780-6864
(701) 780-4391
Mailing address
725 HAMLINE ST, GRAND FORKS, ND 58203-2819
(701) 780-6864
(701) 780-4391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15261
ND
207Q00000X
Family Medicine Physician
RL14147
ND
Other
Enumeration date
03/23/2016
Last updated
06/24/2020
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