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Individual
DR. MARK EDWARD SMITH
Active
Individual
DR. MARK EDWARD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
512
NE
207RG0100X
Gastroenterology Physician
Primary
63619
MN
Other
Enumeration date
03/19/2008
Last updated
10/22/2018
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