Bonnie M Samuelson, M.D.

NPI #1962432658 in Crandon, Wisconsin

Provider Information

NPI Number: 1962432658
Entity Type: Individual
Name: Bonnie M Samuelson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jul 5, 2006
Last Updated: Mar 21, 2022

Practice Location

Address: 8201 MISH KO SWEN DR
City: Crandon
State: Wisconsin
ZIP Code: 54520-8631
Phone: (715) 478-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X	Primary

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