Individual
WILLIAM OLIVER SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 PIERCE ST, STE 101, SIOUX CITY, IA 51104
(712) 224-8677
(712) 277-1662
Mailing address
2800 PIERCE ST, STE 101, SIOUX CITY, IA 51104
(712) 224-8677
(712) 277-1662
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
26070
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00799078
MEDICARE RR
IA
Enumeration date
09/08/2006
Last updated
04/12/2010
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