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Contact Information

SAMANTHA A WLOCH, PHYSICIAN ASSISTANT
7595 ANAGRAM DR
EDEN PRAIRIE, MN55344-7399
 Phone: 612-573-2200
 Fax: 612-573-2274
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SAMANTHA A WLOCH · (Female)

NPI # 1275022618
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 05/01/2018
Last updated 12/09/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • FL License # 9111230
  • MN License # 15621
Hospital affiliation(s)
  • H LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE I - (Acute Care)
    12902 MAGNOLIA DR
    TAMPA, FL 33612
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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