Individual
DR. MICHAEL A SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-2349
(812) 522-0790
Mailing address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-2349
(812) 522-0790
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01069327A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100386650A
—
IN
05
—
64290745
—
KY
Enumeration date
09/08/2005
Last updated
09/24/2018
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