Individual
ROGER DOUGLAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1051 N CANTON CENTER RD, CANTON, MI 48187-5097
(348) 445-2897
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301059897
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4643063
—
MI
Enumeration date
10/05/2006
Last updated
11/11/2019
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