Individual
JUDY LYNN SMITH
Active
Individual
JUDY LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
177741-1
NY
2086X0206X
Surgical Oncology Physician
Primary
4301104264
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154302172
NPI
MI
01
—
4301104264
MICHIGAN LICENSE
MI
Enumeration date
11/08/2005
Last updated
12/16/2013
Update your record
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