DR. Russell G Smidt, MD

NPI #1801873344 in Eagan, Minnesota

Provider Information

NPI Number: 1801873344
Entity Type: Individual
Name: DR. Russell G Smidt, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Dec 27, 2005
Last Updated: Oct 6, 2011

Practice Location

Address: 1885 PLAZA DR
Address 2: PARK NICOLLET CLINIC - EAGAN
City: Eagan
State: Minnesota
ZIP Code: 55122-2612
Phone: (952) 993-4001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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