Smith, Mark

Smith, Mark is an individual health care provider with primary practice located at 705 Pleasant Ave S , Park Rapids MN 56470-1440. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Smith, Mark can be contacted via phone (187) 322-8002.

Contact Information

Primary practice address
705 Pleasant Ave S Park Rapids MN 56470-1440
Phone: (187) 322-8002
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 65664 Minnesota

Profile Details

NPI number 1205298395
LBN Legal business name Smith, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2016
Last updated Nov 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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