Individual
DR. RICK JOEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1504 E GRAND RIVER AVE, SUITE100, EAST LANSING, MI 48823-4921
(517) 908-3040
(517) 908-0856
Mailing address
1504 E GRAND RIVER AVE, SUITE100, EAST LANSING, MI 48823-4921
(517) 908-3040
(517) 908-0856
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
4301051137
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13 00007
PHP OF MID MICHIGAN
MI
01
—
13 70017
PHP FAMILY CARE
MI
01
—
2403303571
BCBS OF MICHIGAN
MI
05
—
3160115
—
MI
Enumeration date
08/26/2006
Last updated
05/02/2019
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