Miranda Sam
Miranda Sam is a Specialist in Sartell, Minnesota. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1801 Amber Ave SSartell, MN 56377-7507
Phone: (218) 287-4338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1639957624 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 20, 2023 |
| Last updated in NPPES | September 20, 2023 |
| Certification date | September 20, 2023 |
| Mailing address | 1547 30th Ave S, Moorhead, MN 56560-5149 |
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Courtney Nathe
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Isabelle Staggs
1801 Amber Ave S, Sartell, MN 56377-7507 · (218) 287-4338
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Thomas Tesar
1801 Amber Ave S, Sartell, MN 56377-7507 · (218) 287-4338