Individual
SAMUEL MEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(500) 723-8855
Mailing address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(500) 723-8855
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
38449
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-03288
MEDICA
MN
05
—
110072
—
MN
01
—
160M1ME
BCBS/MEDICARE SUPPLEMENT
MN
05
—
160M1ME
—
MN
05
—
51323700
—
MN
05
—
562678
—
IA
01
—
930671
ARAZ
MN
01
—
A062
CHAMPUS
MN
01
—
HP17904
HEALTH PARTNERS
MN
01
—
MH90401021404
PPO
MN
Enumeration date
12/06/2005
Last updated
07/09/2007
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