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Individual

DR. MICHAEL WASHBURN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3145 W CLARK RD, SUITE 201, YPSILANTI, MI 48197-1120
(734) 528-5700
(734) 572-9100
Mailing address
3145 W CLARK RD, SUITE 201, YPSILANTI, MI 48197-1120
(734) 528-5700
(734) 572-9100

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MS029991
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H10528
BCBS
MI
05
1043351356
MI
Enumeration date
02/09/2007
Last updated
09/10/2015
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