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Individual

DR. MICHAEL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1222 S PATTERSON BLVD, STE 220, DAYTON, OH 45402-2684
(937) 223-5350
(937) 224-3112
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.128066
OH
208M00000X
Hospitalist Physician
Primary
35.128066
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0167298
OH
Enumeration date
04/03/2013
Last updated
05/05/2023
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