Individual
DENNIS A SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1184 CLEAVER RD, CARO, MI 48723-1143
(888) 758-5709
(888) 490-5454
Mailing address
192 S LAKE ST, PORT SANILAC, MI 48469-9620
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
DS005982
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-5-32-1087-5
BCBS PIN
MI
05
—
4582075
—
MI
05
—
4590685
—
MI
05
—
4590694
—
MI
Enumeration date
07/13/2005
Last updated
06/13/2013
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