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Organization

MICHAEL W. SMITH D.C. LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL WILLIAM SMITH D.C. (PRESIDENT/CHIROPRACTOR)
(320) 230-7246
Entity
Organization

Contact information

Practice address
266 33RD AVE S STE 7, SAINT CLOUD, MN 56301-4685
(320) 230-7246
(320) 230-7256
Mailing address
266 33RD AVE S STE 7, SAINT CLOUD, MN 56301-4685
(320) 230-7246
(320) 230-7256

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
606K6SM
BC/BS
MN
01
P00355696
MEDICARE RAIL ROAD
MN
Enumeration date
07/30/2007
Last updated
04/20/2008
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