Doctor Name: | JOHN THOMAS SMITH |
NPI Number: | 1174541577 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 47458 |
Business Practice Address: | 924 1st St Ne Faribault, MN - 550215441 |
Business Phone Number: | 5073333300 |
Business Fax Number: | 5073333214 |
Mailing Address: | 924 1st St Ne, FARIBAULT |
State: | MN |
Postal Code: | 550215441 |
Phone Number: | 5073333300 |
Fax Number: | 5073333214 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 09/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 47458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |