| Doctor Name: | TIM ALLEN SMITH |
| NPI Number: | 1881821619 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 53656 |
| Business Practice Address: | 2501 Keenan Dr International Falls, MN - 566492181 |
| Business Phone Number: | 2182839431 |
| Business Fax Number: | |
| Mailing Address: | 2501 Keenan Dr, INTERNATIONAL FALLS |
| State: | MN |
| Postal Code: | 566492181 |
| Phone Number: | 2182839431 |
| Fax Number: | |
| NPI Enumeration Date: | 06/19/2009 |
| NPI Last Update Date: | 06/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 53656 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |