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

Dr. Jeffrey Neil Samuelson, MD

Individual provider Dermatology Physician · NPI 1407912678

Dr. Jeffrey Neil Samuelson, MD is a Micrographic Dermatologic Surgery (Mds) in Duluth, Minnesota. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 1989, 37 years ago. Practices with Twin Ports Dermatology Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
37
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
MN
In the registry since
2006
Specialties on file
2
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

1414 Woodland Ave
Duluth, MN 55803-2624
Phone: (218) 302-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 40515 (MN)
Dermatology Physician Taxonomy 207N00000X · Licence 40515 (MN)

Record details

NPI number1407912678
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 29, 2006
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020
Mailing address1414 Woodland Ave, Duluth, MN 55803-2624

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 1989 (37 years in practice)
Group practice Twin Ports Dermatology Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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