Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Derek Miguel Leroux Smith, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316293889

Dr. Derek Miguel Leroux Smith, MD is a Student in an Organized Health Care Education/Training Program in Roseville, Minnesota. Practices as a sole proprietor and works from 3 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2990 Centre Pointe Dr
Roseville, MN 55113-1182
Phone: (651) 638-1560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5500 94th Ave N, Brooklyn Park, MN 55443 — (651) 428-8822
  • 6363 France Ave S, Edina, MN 55435-2129 — (952) 230-9100

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 57594 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316293889
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 1, 2012
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

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