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Individual
DR. THOMAS G SMITH
Active
Individual
DR. THOMAS G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TS048898
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0808300031
INDIVIDUAL BCBS
MI
01
—
080H376070
GROUP BCBS
MI
01
—
103493
PREFERRED CHOICES
MI
05
—
2904151
—
MI
Enumeration date
07/07/2005
Last updated
03/05/2025
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