Individual
DR. SAMUEL JOSEPH SOUTHGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435
(952) 835-9880
Mailing address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435
(952) 835-9880
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
71281
MN
Other
Enumeration date
04/22/2020
Last updated
08/07/2023
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