Individual
GAIL MARIE SMIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1570 BEAM AVE, MAPLEWOOD, MN 55109-1166
(651) 326-1940
Mailing address
13460 188TH ST N, MARINE ON SAINT CROIX, MN 55047-9771
(651) 433-3999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2128
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74Q01SC
BCBS
MN
Enumeration date
11/01/2006
Last updated
07/08/2007
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