MOLLY B SMITH, PA-C, Surgical SAINT LOUIS PARK, MN

Contact Information

MOLLY B SMITH, PA-C

5400 EXCELSIOR BLVD STE 150
SAINT LOUIS PARK, MN 55416-2913

Phone: 952-993-1000
Fax: 952-993-1160
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgical	363AS0400X	97	Physician Assistant
Physician Assistant	363A00000X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for MOLLY B SMITH · (Female)

NPI #	`1073006672`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	06/08/2018
Last updated	06/19/2024 - More than a year ago
Sole proprietor ¹	No
Identifiers	IL License # 085008251 MN License # 14341
Hospital affiliation(s)	RESURRECTION MEDICAL CENTER - (Acute Care) 7435 W TALCOTT AVENUE CHICAGO, IL 60631 RHC ST FRANCIS HOSPITAL - (Acute Care) 355 RIDGE AVE EVANSTON, IL 60202 ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS - (Acute Care) 2233 W DIVISION ST CHICAGO, IL 60622

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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MOLLY B SMITH, PA-C – NPI #1073006672Surgical

Contact Information

Specialty

Surgical

Physician Assistant

NPI Profile & details for MOLLY B SMITH · (Female)

Reviews for MOLLY B SMITH

MOLLY B SMITH, PA-C – NPI #1073006672
Surgical