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Individual

MR. MICHAEL DEAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NBC HIS

Contact information

Practice address
100 S WILSON AVE, JEFFERSON, IA 50129
(515) 386-2443
(515) 233-1012
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(612) 351-1529

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
IA
237700000X
Hearing Instrument Specialist
Primary
496
IA

Other

Enumeration date
02/15/2006
Last updated
11/16/2018
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