IndividualActive
Andrew Smith
NPI 1073590535 · Surgery Physician · St Louis Park, MN
Provider details
- NPI number
- 1073590535
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- License
- 20172 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6490 Excelsior Blvd #e500
Park Nicollet Clinic - Meadowbrook
St Louis Park, MN 55426
Phone: (952) 993-7342
Fax: (952) 993-2701
Approximate (ZIP-level) locationGet directions
Mailing address
6465 Wayzata Blvd
St Louis Park, MN 55426-1728
Registry dates
- Enumerated
- 2005-12-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.