Individual
ADAM SMISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 ELTON HILLS LN NW, ROCHESTER, MN 55901-3577
(507) 778-5015
Mailing address
3814 10TH AVE SW, ROCHESTER, MN 55902-2818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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