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Individual
SUSAN MARY SMERECK
Active
Individual
SUSAN MARY SMERECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301071790
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H262390
BLUE CROSS-BLUE CROSS
—
05
—
445481610
—
MI
01
—
SS071790
CHAMPUS-CHAMPUS
—
Enumeration date
11/17/2006
Last updated
04/06/2021
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