Jason Martin Samudio

  • NPI 1215494158
According to our database, the NPI number for Jason Martin Samudio is 1215494158 and activated since 5 years ago. Jason Martin Samudio is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 13603 80th Cir N, Maple Grove, MN 55369. You can also contact Jason Martin Samudio via telephone number is (763) 274-3120. Provider NPI information was last updated on 02/27/2019.

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Overview of Jason Martin Samudio

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/27/2019
  • Last updated: 02/27/2019

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 305317
  • License State: MN

Provider Mailing Address

  • Address: 1900 Silver Lake Rd Nw Ste 110
    New Brighton, MN 55112
  • Phone: 651-628-9566
  • Fax: 651-628-0411

Provider Practice Location

  • Address: 13603 80th Cir N
    Maple Grove, MN 55369
  • Phone: 763-274-3120
  • Fax: 763-274-3121

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 305317
  • License State: MN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jason Martin Samudio?
  • A: The npi number for Jason Martin Samudio is 1215494158.
  • Q: What are Jason Martin Samudio's specialties?
  • A: Jason Martin Samudio's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Jason Martin Samudio?
  • A: The medical license number for Jason Martin Samudio is 305317 and issued in MN in USA.
  • Q: Where is Jason Martin Samudio practice location?
  • A: Jason Martin Samudio is practicing at 13603 80th Cir N, Maple Grove, MN 55369.
  • Q: How to contact Jason Martin Samudio?
  • A: You can contact Jason Martin Samudio via 763-274-3120.
Medicare Specialty
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