Individual
SAMUEL AARON HISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 N 8TH AVE E, DULUTH, MN 55805-2024
(218) 726-1112
Mailing address
124 W OWATONNA ST, DULUTH, MN 55803-1741
(218) 929-1572
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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