Individual
HENRY T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 S 8TH ST, STE 206, MINNEAPOLIS, MN 55404-1208
(612) 347-7534
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16816
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
871873300
—
MN
Enumeration date
06/27/2006
Last updated
07/30/2007
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