Individual
SAMUEL WALKER TRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5249 E TERRACE DR, MADISON, WI 53718-8339
(608) 265-1200
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.075866
IL
207R00000X
Internal Medicine Physician
Primary
83747
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2020
Last updated
12/11/2024
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