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Individual
PENELOPE JUVRUD SMITH
Active
Individual
PENELOPE JUVRUD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41726
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024217900
—
MN
01
—
080149404
MEDICARE RAILROAD
MN
Enumeration date
12/07/2005
Last updated
01/04/2023
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