Individual
DR. DOUGLAS A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 GOLDEN VIEW DR, LONG LAKE, MN 55356-9779
(612) 889-2675
(952) 831-8056
Mailing address
155 GOLDEN VIEW DR, LONG LAKE, MN 55356-9779
(612) 889-2675
(952) 831-8056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31956
MN
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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