Individual
SEAN B SMITH
Active
Individual
SEAN B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50979
MN
207RP1001X
Pulmonary Disease Physician
Primary
336.087094
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
07/18/2007
Last updated
04/19/2014
Update your record
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