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Individual

BRITTANY N SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
6405 FRANCE AVE S, EDINA, MN 55435
(952) 836-3422
(952) 836-3950
Mailing address
6405 FRANCE AVE S STE 200, EDINA, MN 55435-2164
(952) 836-3422
(952) 836-3950

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12255
MN
363A00000X
Physician Assistant
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689937963
WI
Enumeration date
06/21/2012
Last updated
09/30/2019
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