BRENNEN D SMITH

BRECKENRIDGE, MN
NPI1376753277
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
(Licence: MN  61204)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: ND  15379)
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
(Licence: OH  34.010178)
Enumeration Date2007-05-22
Last Update Date2019-10-02
Business Address
BRENNEN D SMITH DO
2400 ST FRANCIS DR
BRECKENRIDGE, MN 56520-1025
Phone number: 218-643-3000
Mailing Address
BRENNEN D SMITH DO
4784 AMBER VALLEY PKWY S CHI PROVIDER ENROLLMENT - FARGO DIVISON
FARGO, ND 58104-8614
Phone number: 701-237-8072