Individual
DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 2ND ST S, SARTELL, MN 56377-1917
(320) 281-3339
(320) 251-6942
Mailing address
111 2ND ST S, SARTELL, MN 56377-1917
(320) 281-3339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47571
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173436900
—
MN
Enumeration date
06/28/2006
Last updated
04/07/2022
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