National Provider Identifier Database

SAMUEL C DUDLEY JR, M.D., PH.D – NPI #1568575173
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

SAMUEL C DUDLEY JR, M.D., PH.D
2450 RIVERSIDE AVE
MINNEAPOLIS, MN55454-1450
Phone: 612-672-6000
Fax:
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for SAMUEL C DUDLEY JR

NPI Number 1568575173
Credentials M.D., PH.D
Entity Individual
Enumeration date 08/16/2006
Last updated 11/01/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • GA License #: 044910
  • IL License #: 336.080316
  • RI License #: MD14147
  • RI Other: MD14147 PROFESSIONAL LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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