Organization
DOWNRIVER INTERNISTS,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY JEAN SMITH C.M.M. (PRACTICE MANAGER)
(734) 318-2418
Entity
Organization
Contact information
Practice address
21801 GODDARD RD, TAYLOR, MI 48180-4213
(734) 287-3830
(737) 287-4626
Mailing address
21801 GODDARD RD, TAYLOR, MI 48180-4213
(734) 287-3830
(734) 287-4626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041891
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110H249580
BCBSM
MI
05
—
4134414
—
MI
Enumeration date
02/12/2007
Last updated
01/29/2021
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