Individual
SAMUEL TUCKER BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 CENTRACARE DR, LONG PRAIRIE, MN 56347-2100
(320) 732-2131
(320) 732-6913
Mailing address
50 CENTRACARE DR, LONG PRAIRIE, MN 56347-2100
(320) 732-2131
(320) 732-6913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62705
MN
207Q00000X
Family Medicine Physician
E-11506
AR
208D00000X
General Practice Physician
62705
MN
208D00000X
General Practice Physician
MD-44699
IA
Other
Enumeration date
04/16/2014
Last updated
04/05/2021
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