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Contact Information

JOY M SMETANKA, RD, LD, CDE
6939 PINE ARBOR DR S STE 100
COTTAGE GROVE, MN55016-4643
 Phone: 651-326-5800
 Fax: 651-326-5802
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for JOY M SMETANKA · (Female)

NPI Number 1881638054
Status Active
Credentials RD, LD, CDE
Entity Individual
Enumeration date 06/16/2006
Last updated 05/19/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 1928
  • MN Medicaid 1881638054
  • MN Other 1881638054 NPI
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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