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DUSTIE ANGELA SAMUELS D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1386026953

Individual Registrant:
 DUSTIE ANGELA SAMUELS D.O.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
138 MAIN ST S  PIERZ, MN 56364 US
Tel: 320-468-2587  Fax: --

Contact information for business:
400 EAST THIRD STREET MCL2CRED DULUTH, MN 55805-1951 US
Tel: 218-786-3146  Fax: --

Registration Information:
NPI: 1386026953
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
KS94-08722
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MN63291

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MN - Page 1



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