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Individual

SCOTT H SAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757
Mailing address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38476
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-00530
MEDICA
MN
05
041019500
MN
01
1009175
PREFERREDONE
MN
01
123444
UCAREMN
MN
05
13056
ND
05
1476616
TX
05
41091744413
NE
01
8D7845A
BCBS
MN
01
HP26724
HEALTHPARTNERS
MN
Enumeration date
09/22/2006
Last updated
07/08/2010
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