Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blain Anthony Samuelson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154011567

Blain Anthony Samuelson, MD is a Student in an Organized Health Care Education/Training Program in Davenport, Iowa. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1345 W Central Park Ave
Davenport, IA 52804-1844
Phone: (563) 421-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IA)

Record details

NPI number1154011567
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 9, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address1345 W Central Park Ave, Davenport, IA 52804-1844

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