Russell G Smidt in St Louis Park - Pediatrics

Russell G Smidt - NPI 1801873344

Russell G Smidt is a Pediatrics in St Louis Park, Minnesota. Russell G Smidt practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Russell G Smidt is 1801873344. The last update date is 2011-10-06.

Russell G Smidt's current location address is 6465 Wayzata Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529937169 and fax number 9529930300. The mailing address for Russell G Smidt is 6465 Wayzata Blvd, St Louis Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell G Smidt
Address 6465 Wayzata Blvd, St Louis Park, Minnesota
Phone Number 9529937169
Fax Number 9529930300
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1801873344
Provider Enumeration Date 2005-12-27
Last Updated Date 2011-10-06

Provider Mailing Address Detail

Address 6465 Wayzata Blvd
City St Louis Park
State Minnesota (MN)
Post Code 554261728
Phone Number 9529937169
Fax Number 9529930300

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 38657
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Russell G Smidt

What is the unique 10-digit identifier code issued to Russell G Smidt by the Centers for Medicare & Medicaid Services?

The Russell G Smidt has been assigned the NPI (National Provider Identifier) 1801873344 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Russell G Smidt is geographically located?

The Russell G Smidt is physically situated at the following location: 6465 Wayzata Blvd, St Louis Park, MN, 554261728.

What is Russell G Smidt's specialized field of practice, and what is the corresponding taxonomy classification code?

The Russell G Smidt's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1801873344 to Russell G Smidt?

The Russell G Smidt received its 1801873344 assignment from the Centers for Medicare & Medicaid Services on 2005-12-27.

As of what date were the Russell G Smidt's details last updated?

The information pertaining to the Russell G Smidt, including its address, specialty, and other details, was most recently updated on 2011-10-06.

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