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Individual

DONALD W SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6301 UNIVERSITY COMMONS, SOUTH BEND, IN 46635-1571
(574) 234-4016
(574) 239-4607
Mailing address
6301 UNIVERSITY COMMONS, SOUTH BEND, IN 46635-1571
(574) 234-4016
(574) 239-4607

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01023994A
IN

Other

Enumeration date
06/09/2005
Last updated
02/13/2014
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