Smith, Robert Weston

Smith, Robert Weston is an individual health care provider with primary practice located at 2080 Woodwinds Drive #240, Woodbury MN 55125. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Smith, Robert Weston can be contacted via phone (651) 702-0750.

Contact Information

Primary practice address
2080 Woodwinds Drive #240 Woodbury MN 55125
Fax: (651) 702-0749
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 28993 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X 28993 Minnesota

Profile Details

NPI number 1104862465
LBN Legal business name Smith, Robert Weston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Nov 20th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104862465 NPPES
Minnesota MEDICAID 0400000206

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