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Contact Information

THOMAS W SAMUELSON, MD
10709 WAYZATA BLVD STE 200
MINNETONKA, MN55305-5509
 Phone: 952-888-5800
 Fax: 952-567-6156
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for THOMAS W SAMUELSON · (Male)

NPI # 1265427918
Status Active
Credentials MD
Entity Individual
Enumeration date 09/19/2005
Last updated 08/04/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 30302
  • MN Medicaid 851008300
  • WI Medicaid 31696600
Hospital affiliation(s) Not Available
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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