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Individual

J PATRICK SMITH

Active
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Individual

J PATRICK SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24520
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73B26SM
BLUECROSS BLUESHIELD
—
01
—
912996
MEDICA
—
01
—
969990824013
PREFERREDONE
—
01
—
HP14427
HEALTHPARTNERS
—
Enumeration date
08/11/2006
Last updated
07/11/2007
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