Individual provider · Type 1 NPI

Samuel Jesse Anthony Ii, DO

Family Medicine Physician · Roseville, MN

NPI number 1154986024 Active

Practice location

2401 Fairview Ave N Ste 145
Roseville, MN 55113-2710

Call (888) 290-1209 Map

Fax (833) 973-3529

Mailing address

20515 Aspen Dr
Grand Rapids, MN 55744-4792

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X76012 (MN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1154986024

Samuel Jesse Anthony Ii, DO's National Provider Identifier is 1154986024, issued on May 7, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Roseville, MN. The record was last updated on Jul 23, 2025.