Individual
DR. GREGORY THOMAS SMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
29 LAKE ST S, BIG LAKE, MN 55309-4588
(763) 263-3470
(763) 263-5900
Mailing address
PO BOX 277, BIG LAKE, MN 55309-0277
(763) 263-3470
(763) 263-5900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1471
MN
Other
Enumeration date
10/04/2006
Last updated
08/31/2012
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