Individual
CHARLES L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 PARK AVE, S5, MINNEAPOLIS, MN 55415-1623
(612) 347-5931
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
21807
MN
Other
Enumeration date
06/14/2006
Last updated
07/30/2007
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