Individual
DR. SHAUN D SAMUELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-7060
(207) 662-7066
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-7060
(207) 662-7066
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
EC-06-1087
ME
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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