Individual
DR. ELIZABETH C. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5777 WEST MAPLE RD., SUITE 170, WEST BLOOMFIELD, MI 48322
(248) 855-0077
(248) 855-0042
Mailing address
5777 WEST MAPLE RD., SUITE 170, WEST BLOOMFIELD, MI 48322
(248) 855-0077
(248) 855-0042
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301067487
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11289153
CAQH
—
Enumeration date
06/12/2006
Last updated
07/11/2012
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