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1609850338

NPI Code Detail

MEDICARE: SAMUEL MEALS M.D.

MEDICARE: SAMUEL MEALS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	38449	MN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	160M1ME	OTHER	MN	BCBS/MEDICARE SUPPLEMENT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	160M1ME	OTHER	MN	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	A062	OTHER	MN	CHAMPUS
5	HP17904	OTHER	MN	HEALTH PARTNERS
6	MH90401021404	OTHER	MN	PPO
7	07-03288	OTHER	MN	MEDICA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	930671	OTHER	MN	ARAZ

General Provider Information

NPI Number	:	1609850338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL MEALS M.D.

Provider Business Mailing Address
First Line	:	800 MEDICAL CENTER DR
Second Line	:
City	:	FAIRMONT
State	:	MN
Zip	:	56031-4575
Country	:	US
Telephone Number	:	500-723-8855
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 MEDICAL CENTER DR
Second Line	:
City	:	FAIRMONT
State	:	MN
Zip	:	56031-4575
Country	:	US
Telephone Number	:	500-723-8855
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	07/09/2007

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Directions to “ SAMUEL MEALS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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