Individual
MARK SMELTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 559-3779
Mailing address
PO BOX 47159, PLYMOUTH, MN 55447-0159
(763) 559-3779
(763) 450-3986
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
58853
MN
Other
Enumeration date
04/08/2011
Last updated
06/08/2015
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