Individual
DR. STEPHEN ANDREW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 9TH ST N, VIRGINIA, MN 55792-2329
(218) 741-0150
Mailing address
400 EAST THIRD STREET, DULUTH, MN 55805-1950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301101475
MI
207Q00000X
Family Medicine Physician
Primary
61205
MN
207R00000X
Internal Medicine Physician
4301101475
MI
Other
Enumeration date
06/27/2012
Last updated
04/17/2020
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