Individual
TIMOTHY DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
433 S 7TH ST APT 1822, MINNEAPOLIS, MN 55415-1641
(320) 224-5755
Mailing address
433 S 7TH ST APT 1822, MINNEAPOLIS, MN 55415-1641
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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