Individual
PAUL JOSEPH SMACIARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
303 CATLIN ST, BUFFALO, MN 55313-1947
(763) 682-5225
(763) 684-6111
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
6844
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
6844
MN
Other
Enumeration date
08/28/2019
Last updated
08/19/2022
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