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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134009442

Samuel Selisch is a Student in an Organized Health Care Education/Training Program in Grand Forks, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.

Licensed in
ND
In the registry since
2025
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Practice location Address checks out

631 N 6th St
Grand Forks, ND 58203-3232
Phone: (360) 302-0869
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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 (ND)

Record details

NPI number1134009442
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 5, 2025
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address631 N 6th St, Grand Forks, ND 58203-3232

Other providers in Grand Forks