Individual
RYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9145 SPRINGBROOK DR NW STE 200, COON RAPIDS, MN 55433-5886
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(612) 870-5491
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
77002
MN
Other
Enumeration date
04/18/2018
Last updated
08/07/2024
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