Smith, Mark Edward

Smith, Mark Edward is an sole proprietor health care provider with primary practice located at 237 Radio Dr Ste 210 , Woodbury MN 55125-4478. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Smith, Mark Edward can be contacted via phone (612) 871-1145.

Contact Information

Primary practice address
237 Radio Dr Ste 210 Woodbury MN 55125-4478
Phone: (612) 871-1145
Fax: (612) 870-5491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 512 Nebraska
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 63619 Minnesota

Profile Details

NPI number 1740451525
LBN Legal business name Smith, Mark Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2008
Last updated Oct 22nd, 2018 - about 7 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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