IndividualActive
Bruce Samson, MD
NPI 1962708503 · General Practice Physician · Osakis, MN
Provider details
- NPI number
- 1962708503
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 023083 (MN)
Practice location
13234 Fawn Dr
Osakis, MN 56360-4858
Phone: (952) 240-9298
Fax: (952) 955-1970
Mailing address
13234 Fawn Dr
Osakis, MN 56360-4858
Registry dates
- Enumerated
- 2011-01-30
- Last updated
- 2015-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.