Individual
SAM G TOTIMEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11299 ROBINSON DR NW APT 203, COON RAPIDS, MN 55433-7473
(763) 898-9162
Mailing address
11325 ROBINSON DR NW APT 305, COON RAPIDS, MN 55433-7430
(763) 898-9162
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2469309
MN
Other
Enumeration date
03/14/2020
Last updated
01/22/2021
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