Male or Other

Mr. Robert W. Smith MD

Otolaryngology Physician in Woodbury, MN(View on Map)

Full Name

Mr. Robert Weston Smith MD

NPI Number

1104862465

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/22/2006

Specialties

(Taxonomies)

Code

207Y00000X
208600000X

Primary Taxonomy

Yes
No

Licenses

State

Minnesota

License Number

28993

Contact
Information

Purpose

Mailing
Location

Address

2080 WOODWINDS DRIVE
2080 WOODWINDS DRIVE

City

Woodbury
Woodbury

State

MN
MN

Postal Code

55125
55125

Country

US
US

Telephone Number

(651) 702-0750
(651) 702-0750

Identifiers

Identifier

0400000206

Identifier State

MN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/20/2009

Provider Address

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