MEDICARE: DR. LOREN ARNOLD SMEBY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	18830	MN

General Provider Information

NPI Number	:	1326352246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOREN ARNOLD SMEBY M.D.

Provider Business Mailing Address
First Line	:	34186 WHITE OAK DR
Second Line	:
City	:	CROSSLAKE
State	:	MN
Zip	:	56442-2738
Country	:	US
Telephone Number	:	218-692-3033
Fax Number	:

Provider Business Practice Location Address
First Line	:	34186 WHITE OAK DR
Second Line	:
City	:	CROSSLAKE
State	:	MN
Zip	:	56442-2738
Country	:	US
Telephone Number	:	218-692-3033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2010
Last Update Date	:	08/03/2010

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