Individual
MARY RACHEL GERCHMAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
R1135220
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
560024300
—
MN
01
—
69R64GE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/01/2006
Last updated
05/02/2011
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