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1730279357
WAYNE M. SAMUELSON
SALT LAKE CITY, UT
NPI
1730279357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: UT 294201-1205)
Enumeration Date
2006-10-13
Last Update Date
2021-11-17
Business Address
WAYNE M. SAMUELSON MD
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-7806
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Mailing Address
WAYNE M. SAMUELSON MD
PO BOX 413033
SALT LAKE CITY, UT 84141-3033
Phone number: 801-213-3900
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