Individual
DR. WILLIAM OLIVER SAMUELSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 N SIOUX POINT ROAD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Mailing address
575 N SIOUX POINT ROAD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12307
SD
207X00000X
Orthopaedic Surgery Physician
32965
NE
207X00000X
Orthopaedic Surgery Physician
60328
MN
207X00000X
Orthopaedic Surgery Physician
MD-47819
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2014
Last updated
12/10/2025
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