Individual provider · Type 1 NPI

Edward Julien Smith Jr., DO

Sports Medicine (Family Medicine) Physician · Minneapolis, MN

NPI number 1639602709 Active

Practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Mailing address

1121 E North Ave
Milwaukee, WI 53212-3515

Other practice locations

  • 1121 E North Ave, Milwaukee, WI 53212-3515 · (414) 267-6502

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Sports Medicine (Family Medicine) Physician Primary 207QS0010X67687 (MN)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1639602709

Edward Julien Smith Jr., DO's National Provider Identifier is 1639602709, issued on Apr 6, 2017. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 10, 2021.