Andrew J K Smith

NPI 1073590535 - Surgery - 208600000X

NPI Details
NPI 1073590535
Gender Male
Enumeration Date 12/27/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6490 EXCELSIOR BLVD #E500
PARK NICOLLET CLINIC - MEADOWBROOK
ST LOUIS PARK MN, 55426, US
Phone (952) 993-7342
Fax (952) 993-2701
Business Location
6465 WAYZATA BLVD
STE 315
ST LOUIS PARK MN, 55426-1728, US
Phone (952) 993-7169
Fax (952) 993-0300
Toxanomy
Taxonomy Code 208600000X
License State Minnesota
License Number 20172
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According to our database, Andrew J K Smith NPI is 1073590535, taxonomy code is 208600000X and license number is 20172, license state is located at Minnesota. Andrew J K Smith physically located at 6490 Excelsior Blvd #e500, St Louis Park MN, 55426. NPI Number Andrew J K Smith has the Individual type.

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1073590535 NPI number is provided on an as is basis without warranty of any kind. 1073590535 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew J K Smith are for informational purposes only.