Individual
TIMOTHY SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 BELLINGER ST, SUITE PHM 1, EAU CLAIRE, WI 54703-5222
(715) 838-6000
(715) 838-5383
Mailing address
1400 BELLINGER ST, SUITE PHM 1, EAU CLAIRE, WI 54703-5222
(715) 838-6000
(715) 838-5383
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
12495-40
WI
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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