Individual
JO ANN SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FN-P
Contact information
Practice address
3409 LUDINGTON ST, ESCANABA, MI 49829-4212
(906) 789-4414
Mailing address
3409 LUDINGTON ST, ESCANABA, MI 49829-4212
(906) 789-4414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704217114
MI
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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