Samuel Branch Kieley M.D.

NPI 1003058546 - Urology - 208800000X

NPI Details
NPI 1003058546
Gender Male
Enumeration Date 03/30/2009
Last Updated 09/12/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
6025 LAKE RD
SUITE 200
WOODBURY MN, 55125-1712, US
Phone (651) 999-6800
Fax (651) 999-6830
Business Location
6025 LAKE RD
SUITE 200
WOODBURY MN, 55125-1712, US
Phone (651) 999-6800
Fax (651) 999-6830
Toxanomy
Taxonomy Code 208800000X
License State Minnesota
License Number 56349
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According to our database, Dr. Samuel Branch Kieley M.D. NPI is 1003058546, taxonomy code is 208800000X and license number is 56349, license state is located at Minnesota. Samuel Branch Kieley M.D. physically located at 6025 Lake Rd, Woodbury MN, 55125-1712. NPI Number Samuel Branch Kieley M.D. has the Individual type.

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1003058546 NPI number is provided on an as is basis without warranty of any kind. 1003058546 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Branch Kieley M.D. are for informational purposes only.