Individual provider · Type 1 NPI
Samuel G. Hawk, DO
General Practice Physician · Ham Lake, MN
NPI number
1366763567
Active
Practice location
14326 Rochester St NE
Ham Lake, MN 55304-6266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | DOS-1424 (HI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1366763567
Samuel G. Hawk, DO's National Provider Identifier is 1366763567, issued on Jun 22, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Ham Lake, MN. The record was last updated on Jul 8, 2021.