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1801873344
RUSSELL G SMIDT
EAGAN, MN
NPI
1801873344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MN 38657)
Enumeration Date
2005-12-27
Last Update Date
2011-10-06
Business Address
Dr. RUSSELL G SMIDT md
1885 PLAZA DR PARK NICOLLET CLINIC - EAGAN
EAGAN, MN 55122-2612
Phone number: 952-993-4001
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Mailing Address
Dr. RUSSELL G SMIDT md
6465 WAYZATA BLVD STE 315
ST LOUIS PARK, MN 55426-1728
Phone number: 952-993-7169
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