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Contact Information

GREGORY M SMITH, MD
712 SOUTH CASCADE STREET
FERGUS FALLS, MN56537-2813
 Phone: 218-736-8000
 Fax: 218-736-8757
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for GREGORY M SMITH · (Male)

NPI Number 1902906225
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 07/09/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 37917
  • MN Medicaid 655317600
  • ND Medicaid 10155
  • NE Medicaid 41091744413
  • TX Medicaid 1476632
  • MN Other 8D657SM BCBS
  • MN Other HP22459 HEALTHPARTNERS
  • MN Other 11-00293 MEDICA
  • MN Other 1009671 PREFERREDONE
  • MN Other 124499 UCAREMN
Hospital affiliation(s)
  • LAKE REGION HEALTHCARE CORPORATION - (Acute Care)
    712 SOUTH CASCADE
    FERGUS FALLS, MN 56537
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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