Individual
MOSES SARAH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
707 W 34TH ST, MINNEAPOLIS, MN 55408-4138
(612) 824-1829
(612) 823-3808
Mailing address
707 W 34TH ST, MINNEAPOLIS, MN 55408-4138
(952) 250-4663
(612) 823-3808
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4728
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273P1AC
BLUE CROSS BLUE SHIELD
MN
05
—
954603100
—
MN
Enumeration date
10/20/2006
Last updated
12/16/2009
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