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Individual

MR. SETH MICHAEL SMART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
19513 STATE HIGHWAY 371, BRAINERD, MN 56401-7298
(218) 963-2944
(218) 963-0899
Mailing address
PO BOX 689, NISSWA, MN 56468-0689
(218) 963-2944
(218) 963-0899

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3804
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173460100
MN
Enumeration date
10/17/2006
Last updated
10/31/2024
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