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Individual

MR. SEAN A SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OA

Contact information

Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
03/17/2006
Last updated
07/08/2007
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