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Blain Anthony Samuelson, MD
Student in an Organized Health Care Education/Training Program in Davenport, Iowa
NPI 1154011567

Blain Anthony Samuelson is a Student in an Organized Health Care Education/Training Program based in Davenport, IA. Blain Anthony Samuelson practices in Davenport, IA and has the professional credentials of MD. The NPI Number for Blain Anthony Samuelson is 1154011567 and holds a License No. (Iowa).

The current practice location address for Blain Anthony Samuelson is 1345 W Central Park Ave, Davenport, IA and can be reached out via phone at 563-421-4400. You can also correspond with Blain Anthony Samuelson through the mailing address at 1345 W CENTRAL PARK AVE, DAVENPORT, IA - 52804-1844 (mailing address contact number: 563-421-4400).

Location: 1345 W Central Park Ave, Davenport, IA, 52804-1844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154011567
Provider Name
Blain Anthony Samuelson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1345 W Central Park Ave, Davenport, IA, 52804-1844
Phone Number
563-421-4400
Fax Number
Provider Enumeration Date
05/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1345 W Central Park Ave
City
Davenport
State
Iowa
Zip
52804-1844
Phone Number
563-421-4400
Fax Number
person
Provider Business Mailing Address Details
Address
1345 W Central Park Ave
City
Davenport
State
Iowa
Zip
52804-1844
Phone Number
563-421-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Iowa)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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