Individual
DR. SAMUEL DAVID COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 751-5430
Mailing address
415 LAKE SHORE DR NE APT 218, BEMIDJI, MN 56601-4685
(646) 249-6459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
77925
MN
208M00000X
Hospitalist Physician
Primary
77925
MN
Other
Enumeration date
04/04/2019
Last updated
05/23/2025
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