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

DENNIS RAY SAMUELSON, M.D.

Active Sole Proprietor

DENNIS RAY SAMUELSON, M.D. is a Family Medicine healthcare provider located in MACOMB, Illinois. NPI 1376792648 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MACOMB, IL

Registration Details

NPI Number
1376792648
Provider Type
Individual
Gender
Male
NPI Issued
Sep 11, 2008 (17.912139945189 yrs)
Last Updated
Sep 11, 2008
License
036-045578 (IL)
Sole Proprietor
Yes

Practice Information

Address
1300 W ADAMS ST
MACOMB, IL, 614551235
Browse IL providers · Browse ZIP 61455
Phone
3098368751
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in MACOMB, IL

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.