SearchMinnesota207R00000X

Grace Kollannoor Samuel, MBBS, MS, PHD

NPI 1659014827 · on the registry since 2022

Practice

Address
8450 Seasons Pkwy
Woodbury, MN 55125
Phone
(651) 702-5300
Fax
(651) 702-5305
Organisation at this address
Group Health, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

Additional practice sites

  • 420 Delaware St Se, Minneapolis, MN

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
208D00000X
207R00000X
Licence states on file
MN, WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota