Bonnie M Samuelson in Crandon - Family Medicine
Bonnie M Samuelson - NPI 1962432658
Bonnie M Samuelson is a Family Medicine in Crandon, Wisconsin. Bonnie M Samuelson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bonnie M Samuelson is 1962432658. The last update date is 2022-03-21.
Bonnie M Samuelson's current location address is 8201 Mish Ko Swen Dr, Crandon, Wisconsin. You can contact this provider via phone number 7154784300. The mailing address for Bonnie M Samuelson is 8201 Mish Ko Swen Dr, Crandon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie M Samuelson |
|---|---|
| Address | 8201 Mish Ko Swen Dr, Crandon, Wisconsin |
| Phone Number | 7154784300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962432658 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2022-03-21 |
Provider Mailing Address Detail
| Address | 8201 Mish Ko Swen Dr |
|---|---|
| City | Crandon |
| State | Wisconsin (WI) |
| Post Code | 545208631 |
| Phone Number | 7154784300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 43356 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34087600 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bonnie M Samuelson by the Centers for Medicare & Medicaid Services?
The Bonnie M Samuelson has been assigned the NPI (National Provider Identifier) 1962432658 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Bonnie M Samuelson's facilities are situated?
The facilities of Bonnie M Samuelson are physically located at the following address: 8201 Mish Ko Swen Dr, Crandon, WI, 545208631.
What is the Bonnie M Samuelson's area of specialization and corresponding taxonomy classification?
The Bonnie M Samuelson's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962432658 to Bonnie M Samuelson?
The Centers for Medicare & Medicaid Services originally issued the 1962432658 to Bonnie M Samuelson on 2006-07-05.
When was the information regarding Bonnie M Samuelson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bonnie M Samuelson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-03-21.
NPI Number: 1194728337
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