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Individual
SUSAN J. SMITH
Active
Individual
SUSAN J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301044626
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101091
HEALTH PLUS
MI
01
—
110B56125
COMMUNITY BLUE PPO
MI
01
—
1112501091
BLUE CROSS BLUE SHIELD
MI
05
—
2693558
—
MI
05
—
4685822
—
MI
01
—
B45557
HEALTH NET FEDERAL SERVIC
MI
Enumeration date
01/25/2006
Last updated
07/13/2026
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