Individual
DR. JOANNE CARLA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
275 JAY COOKE RD, ESKO, MN 55733-9727
(218) 391-3937
Mailing address
417 SKYLINE BLVD, CLOQUET, MN 55720-1198
(218) 879-1271
(218) 879-8904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40811
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
708820500
—
MN
Enumeration date
05/18/2006
Last updated
09/01/2016
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