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Individual
DR. EDWARD LAWRENCE SMITH
Active
Individual
DR. EDWARD LAWRENCE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
5101016859
MI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
55826-21
WI
Other
Enumeration date
05/13/2007
Last updated
09/15/2016
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