Individual
GREGORY M. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757
Mailing address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
37917
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009671
PREFERREDONE
MN
05
—
10155
—
ND
01
—
11-00293
MEDICA
MN
01
—
124499
UCAREMN
MN
05
—
1476632
—
TX
05
—
41091744413
—
NE
05
—
655317600
—
MN
01
—
8D657SM
BCBS
MN
01
—
HP22459
HEALTHPARTNERS
MN
Enumeration date
09/25/2006
Last updated
07/09/2010
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