Individual
DR. ANDREW SMITH JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1548 W MAUMEE ST, SUITE G, ADRIAN, MI 49221-1382
(517) 264-5011
(517) 265-8572
Mailing address
1548 W MAUMEE ST, SUITE G, ADRIAN, MI 49221-1382
(517) 264-5011
(517) 265-8572
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301040069
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1604657562
BLUE CROSS
MI
Enumeration date
05/17/2006
Last updated
07/08/2007
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