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Search › Minnesota › Medical Physician Assistant

Roosevelt Smith, PAC, ATR

NPI 1003836701 · on the registry since 2006

Practice

Address
62 E 3rd St
Suite 3
Winona, MN 55987
Phone
(507) 474-4770
Fax
(507) 474-4774
Organisation at this address
Nsu Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Also registered as
Medical Physician Assistant
Licence states on file
MN, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota