Individual
DR. JUSTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, LAT
Contact information
Practice address
1058 CURVE CREST BLVD W, STILLWATER, MN 55082-6056
(651) 439-6500
(651) 439-6501
Mailing address
1804 SHASTA DR, HUDSON, WI 54016-8088
(715) 808-2713
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6908
MN
Other
Enumeration date
05/18/2015
Last updated
12/10/2021
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