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Individual
DR. BRANDON JACOB SMITH
Active
Individual
DR. BRANDON JACOB SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R11788
IA
208100000X
Physical Medicine & Rehabilitation Physician
69505
MN
208VP0000X
Pain Medicine Physician
Primary
69505
MN
Other
Enumeration date
05/18/2020
Last updated
07/24/2025
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