Individual
ANTHONY E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 VERNON AVE S, EDINA, MN 55436-2303
(952) 925-2200
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28434
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
742573200
—
MN
Enumeration date
07/06/2006
Last updated
11/09/2020
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