Individual provider · Type 1 NPI

Andrew J. K. Smith

Surgery Physician · St. Louis Park, MN

NPI number 1073590535 Active

Practice location

6490 Excelsior Blvd #E500, Park Nicollet Clinic - Meadowbrook
St. Louis Park, MN 55426

Fax (952) 993-2701

Mailing address

6465 Wayzata Blvd, Ste 315
St. Louis Park, MN 55426-1728

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X20172 (MN)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1073590535

Andrew J. K. Smith's National Provider Identifier is 1073590535, issued on Dec 27, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jul 13, 2026.