Individual
DR. NATHANIEL SAUL SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11800 SINGLETREE LN, SUITE 205, EDEN PRAIRIE, MN 55344-5328
(952) 949-0676
Mailing address
11800 SINGLETREE LN, SUITE 205, EDEN PRAIRIE, MN 55344-5328
(952) 949-0676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5554
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2011
Last updated
09/18/2012
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