Miotke, Sam Andrew
Miotke, Sam Andrew is an individual health care provider with primary practice located at 640 Jackson St , Saint Paul MN 55101-2502. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Miotke, Sam Andrew can be contacted via phone (651) 254-1669.Contact Information
Primary practice address
640 Jackson St
Saint Paul MN 55101-2502
Phone: (651) 254-1669
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 59198 | Minnesota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 59198 | Minnesota |
Profile Details
| NPI number | 1972860880 |
|---|---|
| LBN Legal business name | Miotke, Sam Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2012 |
| Last updated | Aug 4th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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