Doctor Name: | JAMES M SMITH |
NPI Number: | 1033137849 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 22038 |
Business Practice Address: | 3701 12th St N Suite 100 St Cloud, MN - 56303 |
Business Phone Number: | 3202537257 |
Business Fax Number: | 3202512938 |
Mailing Address: | 3701 12th St N, Suite 100 ST CLOUD |
State: | MN |
Postal Code: | 56303 |
Phone Number: | 3202537257 |
Fax Number: | 3202512938 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 22038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |