Individual
DR. WESLEY RYAN SMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 PENNSYLVANIA AVE STE 213, DES MOINES, IA 50316-2365
(515) 224-1414
(515) 224-5140
Mailing address
1301 PENNSYLVANIA AVE STE 213, DES MOINES, IA 50316-2365
(515) 224-1414
(515) 224-5140
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30403
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
496090007
MEDICARE PTAN
IA
Enumeration date
03/27/2006
Last updated
12/29/2022
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