DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SAMUEL JESSE ANTHONY II, DO

Active Sole Proprietor

DR. SAMUEL JESSE ANTHONY II, DO is a Family Medicine healthcare provider located in ROSEVILLE, Minnesota. NPI 1154986024 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ROSEVILLE, MN

Registration Details

NPI Number
1154986024
Provider Type
Individual
Gender
Male
NPI Issued
May 7, 2019 (7.2430228469848 yrs)
Last Updated
Jul 23, 2025
License
76012 (MN)
Sole Proprietor
Yes

Practice Information

Address
2401 FAIRVIEW AVE N STE 145
ROSEVILLE, MN, 551132710
Browse MN providers · Browse ZIP 55113
Phone
8882901209
Fax
8339733529
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in ROSEVILLE, MN

Name Credential NPI
TERRY GAYLE DOMINO MD 1396727988
JOHN RICHARD BAUDLER MD 1740263854
CHRISTOPHER WILLIAM LUHMAN MD 1487637419
GRAHAM M OXNARD MD 1386628253
PATRICK T COURNEYA MD 1841262334
NORMAN TRACY WOLF MD 1174597090
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.