Individual
ANDREW J K SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
6490 EXCELSIOR BLVD #E500, PARK NICOLLET CLINIC - MEADOWBROOK, ST LOUIS PARK, MN 55426
(952) 993-7342
(952) 993-2701
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
(952) 993-7169
(952) 993-0300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20172
MN
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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