Dennis Ray Samuelson, M.D.

NPI #1376792648 in Macomb, Illinois

Provider Information

NPI Number
1376792648
Entity Type
Individual
Name
Dennis Ray Samuelson, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Sep 11, 2008
Last Updated
Sep 11, 2008

Practice Location

Address
1300 W ADAMS ST
City
Macomb
ZIP Code
61455-1235
Phone
(309) 836-8751

Specialties & Taxonomy Codes

Specialty
Family Medicine

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