DR. Grant Robert Smith, O.D.

NPI #1750454906 in Plymouth, Minnesota

Provider Information

NPI Number: 1750454906
Entity Type: Individual
Name: DR. Grant Robert Smith, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4190 VINEWOOD LN N
Address 2: SUITE 109
City: Plymouth
State: Minnesota
ZIP Code: 55442-1735
Phone: (763) 559-5522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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