Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL G HAWK, DO
Active Sole ProprietorSAMUEL G HAWK, DO is a General Practice healthcare provider located in HAM LAKE, Minnesota. NPI 1366763567 is currently active in the NPPES registry. Verify at CMS.
General Practice · HAM LAKE, MN
Registration Details
- NPI Number
- 1366763567
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2010 (16.1208403589 yrs)
- Last Updated
- Jul 8, 2021
- License
-
DOS-1424 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14326 ROCHESTER ST NEHAM LAKE, MN, 553046266Browse MN providers · Browse ZIP 55304
- Phone
- 6124862226
- Primary Specialty
-
General Practice
208D00000X
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.