Individual
DANIEL A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
Mailing address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31955
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700494
MEDICA #
MN
01
—
10476
NDBS #
MN
01
—
108032
UCARE #
MN
01
—
1700495
MEDICA #
MN
01
—
1700585
MEDICA #
MN
01
—
17691SM
MNBS #
MN
01
—
17692SM
MNBS #
MN
01
—
17693SM
MNBS #
MN
01
—
1M791SM
MNBS #
MN
01
—
27944SM
MNBS #
MN
01
—
5116
NDBS #
MN
05
—
599388100
—
MN
01
—
773383
AMERICA'S PPO/ARAZ #
MN
01
—
DA9041015678
PREFERRED ONE #
MN
01
—
HP25768
HEALTHPARTNERS #
MN
01
—
MN200004
LHS/BANNERHEALTH #
MN
Enumeration date
06/08/2006
Last updated
10/06/2011
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