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Contact Information

ANITA R SMITH, MD
4801 VETERANS DR
SAINT CLOUD, MN56303-2015
 Phone: 320-255-6350
 Fax: 320-255-6426
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for ANITA R SMITH · (Female)

NPI # 1700923224
Status Active
Credentials MD
Entity Individual
Enumeration date 01/31/2007
Last updated 06/07/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 25830
  • GA License # 061659
  • AL Medicaid 630000013
  • AL Other 011486 MEDICARE GROUP NUMBER
  • AL Other 1063439065 SITE NPI GROUP PAYEE NUMBER
Hospital affiliation(s) Not Available
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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