Samuel Secord is a student in an organized health care education training program in Burnsville, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Samuel Secord NPI is 1093324022. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
11990 PORTLAND AVE
BURNSVILLE, MN
ZIP 55337-516
Phone: (763) 310-6882
The enumeration date for this NPI number is 7/27/2020 and was last updated on 7/27/2020.