GRACE KOLLANNOOR SAMUEL

WOODBURY, MN
NPI1659014827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MN  78971)
Additional Taxonomies208D00000X General Practice
(Licence: WI  8472620)
207R00000X Internal Medicine
(Licence: WI  8472620)
Enumeration Date2022-04-15
Last Update Date2025-09-17
Business Address
Dr. GRACE KOLLANNOOR SAMUEL MBBS, MS, PhD
8450 SEASONS PKWY
WOODBURY, MN 55125-4402
Phone number: 651-702-5300
Mailing Address
Dr. GRACE KOLLANNOOR SAMUEL MBBS, MS, PhD
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number: