Individual
WILBUR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301072516
MI
2085P0229X
Pediatric Radiology Physician
4301072516
MI
2085R0202X
Diagnostic Radiology Physician
Primary
4301072516
MI
Other
Enumeration date
08/07/2006
Last updated
12/10/2015
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