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Samuel G Hawk, DO
General Practice Physician in Ham Lake, Minnesota
NPI 1366763567

Samuel G Hawk is a General Practice Physician based in Ham Lake, MN. Samuel G Hawk practices in Ham Lake, MN and has the professional credentials of DO. The NPI Number for Samuel G Hawk is 1366763567 and holds a License No. DOS-1424 (Minnesota).

The current practice location address for Samuel G Hawk is 14326 Rochester St Ne, Ham Lake, MN and can be reached out via phone at 612-486-2226.

Location: 14326 Rochester St Ne, Ham Lake, MN, 55304-6266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366763567
Provider Name
Samuel G Hawk
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
14326 Rochester St Ne, Ham Lake, MN, 55304-6266
Phone Number
612-486-2226
Fax Number
Provider Enumeration Date
06/22/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14326 Rochester St Ne
City
Ham Lake
State
Minnesota
Zip
55304-6266
Phone Number
612-486-2226
Fax Number
person
Provider Business Mailing Address Details
Address
14326 Rochester St Ne
City
Ham Lake
State
Minnesota
Zip
55304-6266
Phone Number
612-486-2226
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
DOS-1424 (Hawaii)
Definition
Definition to come...
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