Individual
ANGELA JW SMITHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINIC, ST. PAUL, MN 55106
(651) 772-3461
(651) 772-5477
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38068
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103026400
—
MN
Enumeration date
08/01/2006
Last updated
02/12/2013
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