Individual
BRUCE MICHAEL SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13234 FAWN DR, OSAKIS, MN 56360-4858
(952) 240-9298
(952) 955-1970
Mailing address
13234 FAWN DR, OSAKIS, MN 56360-4858
(952) 240-9298
(952) 955-1970
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
023083
MN
Other
Enumeration date
01/30/2011
Last updated
08/18/2015
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