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Contact Information

SAMUEL C LEVINE, MD
516 DELAWARE ST SE
PWB 8TH FLOOR, CLINIC 8A
MINNEAPOLIS, MN55455-0356
 Phone: 612-626-5900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for SAMUEL C LEVINE · (Male)

NPI Number 1508954181
Status Active
Credentials MD
Entity Individual
Enumeration date 10/10/2006
Last updated 10/26/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 30278
  • MN Medicaid 274082600
  • MT Medicaid 0051221
  • WI Medicaid 30778200
  • MN Other 607398 ARAZ
  • MN Other 2T080LE BLUE CROSS BLUE SHIELD
  • MN Other 065524 FAIRVIEW
  • MN Other HP22089 HEALTH PARTNERS
  • MN Other 10-22589 MEDICA CHOICE
  • MN Other 10-00019 MEDICA PRIMARY
  • MN Other 1009211 PREFERRED ONE
  • MN Other 100884 UCARE
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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