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Edward Smith, D.O. — NPI 1639602709, Minneapolis, MN | NPI Central

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Edward Smith, D.O.

NPI 1639602709 · Sports Medicine (Family Medicine) Physician · Minneapolis, MN

Provider details

NPI number: 1639602709
Entity type: Individual
Primary specialty: Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: D.O.
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Sports Medicine (Family Medicine) PhysicianPrimary207QS0010XLicense 67687 (MN)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

2450 Riverside Ave

Minneapolis, MN 55454-1450

Phone: (612) 672-6000

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

1121 E North Ave

Milwaukee, WI 53212-3515

Additional practice locations (1)

1121 E North Ave
Milwaukee, WI 53212-3515
Phone: (414) 267-6502
Fax: (414) 267-3892

Registry dates

Enumerated: 2017-04-06
Last updated: 2021-08-10
Certified: 2021-08-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.