Individual
RICHARD G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 6TH ST, SUITE 202, TRAVERSE CITY, MI 49684-2359
(231) 935-5730
(231) 935-5736
Mailing address
1221 6TH STREET, SUITE 202, TRAVERSE CITY, MI 49684
(231) 935-5730
(231) 935-5736
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301062767
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2999128
—
MI
Enumeration date
04/10/2007
Last updated
04/16/2021
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