Individual
SAMUEL MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 373-2384
Mailing address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 373-2384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70010
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2018
Last updated
09/01/2021
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