Individual
DR. CHERYL L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
23050 WEST RD, SUITE 260, BROWNSTOWN TWP, MI 48183-1472
(734) 671-1867
Mailing address
1640 FORT ST, SUITE D ATTN DENISE, TRENTON, MI 48183-2040
(734) 391-3057
(734) 391-3052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013898
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H27501
BLUE CROSS
MI
05
—
114351229
—
MI
01
—
1841564788
GROUP NPI HENRY FORD WYANDOTTE
—
Enumeration date
10/13/2005
Last updated
02/22/2017
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