Individual
GABRIEL COTTS SMITH
Active
Individual
GABRIEL COTTS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
107043
MN
208100000X
Physical Medicine & Rehabilitation Physician
390200000X
IN
208100000X
Physical Medicine & Rehabilitation Physician
57098
MN
208VP0014X
Interventional Pain Medicine Physician
Primary
57098
MN
Other
Enumeration date
03/25/2012
Last updated
06/28/2016
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